Healthcare Provider Details

I. General information

NPI: 1598004780
Provider Name (Legal Business Name): ALECIA BRYNDA ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W DRY CREEK CIR
LITTLETON CO
80120-4427
US

IV. Provider business mailing address

15 W DRY CREEK CIR
LITTLETON CO
80120-4427
US

V. Phone/Fax

Practice location:
  • Phone: 303-952-1100
  • Fax: 720-287-3183
Mailing address:
  • Phone: 303-952-1100
  • Fax: 720-287-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0990639-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0990639-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number0990936
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: