Healthcare Provider Details

I. General information

NPI: 1497666937
Provider Name (Legal Business Name): MAGDALENA URRUTIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 E 109TH AVE
NORTHGLENN CO
80233-5475
US

IV. Provider business mailing address

3013 E 109TH AVE
NORTHGLENN CO
80233-5475
US

V. Phone/Fax

Practice location:
  • Phone: 303-335-0987
  • Fax: 303-955-8830
Mailing address:
  • Phone: 303-335-0987
  • Fax: 303-955-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: