Healthcare Provider Details

I. General information

NPI: 1053859983
Provider Name (Legal Business Name): DANIELLE MARIE SANDERS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MARIE ROSE

II. Dates (important events)

Enumeration Date: 02/12/2017
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6169 S BALSAM WAY STE 220
LITTLETON CO
80123-3063
US

IV. Provider business mailing address

10035 W DARTMOUTH AVE APT 207
LAKEWOOD CO
80227-5670
US

V. Phone/Fax

Practice location:
  • Phone: 303-933-8526
  • Fax: 303-933-8964
Mailing address:
  • Phone: 303-725-8666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993416-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: