Healthcare Provider Details

I. General information

NPI: 1982566998
Provider Name (Legal Business Name): CAMERON RICHARD RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 S SANTA FE DR
LITTLETON CO
80120-2910
US

IV. Provider business mailing address

6507 S SANTA FE DR
LITTLETON CO
80120-2910
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-0797
  • Fax:
Mailing address:
  • Phone: 303-730-0797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN.1705824
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: