Healthcare Provider Details

I. General information

NPI: 1699585315
Provider Name (Legal Business Name): TREVOR LANDON MEEKS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 RIDGEGATE PKWY
LONE TREE CO
80124-5522
US

IV. Provider business mailing address

750 POTOMAC ST
AURORA CO
80011-6700
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-7338
  • Fax:
Mailing address:
  • Phone: 303-338-7338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number171976
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: