Healthcare Provider Details

I. General information

NPI: 1164351003
Provider Name (Legal Business Name): LAUREN ANNE ANNUCCI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

4428 RIVIERA CT
AURORA CO
80019-3629
US

V. Phone/Fax

Practice location:
  • Phone: 720-447-4444
  • Fax:
Mailing address:
  • Phone: 720-447-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1668240
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: