Healthcare Provider Details
I. General information
NPI: 1710435193
Provider Name (Legal Business Name): ESPRIT WOMAN CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2016
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9397 CROWN CREST BLVD SUITE 320
PARKER CO
80138-8575
US
IV. Provider business mailing address
9397 CROWN CREST BLVD SUITE 320
PARKER CO
80138-8575
US
V. Phone/Fax
- Phone: 303-766-0197
- Fax: 303-766-0187
- Phone: 303-766-0197
- Fax: 303-766-0187
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
SWARTZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-766-0197