Healthcare Provider Details

I. General information

NPI: 1982987673
Provider Name (Legal Business Name): COLLEEN BREANNA BERRY ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 S BROADWAY SUITE 150
LITTLETON CO
80122-2623
US

IV. Provider business mailing address

7750 S BROADWAY SUITE 150
LITTLETON CO
80122-2623
US

V. Phone/Fax

Practice location:
  • Phone: 720-283-2500
  • Fax: 720-283-1122
Mailing address:
  • Phone: 720-283-2500
  • Fax: 720-283-1122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP0990729
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9235139
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: