Healthcare Provider Details

I. General information

NPI: 1306752787
Provider Name (Legal Business Name): MADELINE RAE YAFFE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12919 STROH RANCH CT UNIT G
PARKER CO
80134-7709
US

IV. Provider business mailing address

11412 RED CLOUD PEAK
LITTLETON CO
80127-4025
US

V. Phone/Fax

Practice location:
  • Phone: 720-779-1442
  • Fax:
Mailing address:
  • Phone: 303-994-2784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPN.1002059-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: