Healthcare Provider Details

I. General information

NPI: 1780419648
Provider Name (Legal Business Name): GIFT ENE OGAH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12230 LIONESS WAY
PARKER CO
80134-5603
US

IV. Provider business mailing address

9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE CO
80112-3648
US

V. Phone/Fax

Practice location:
  • Phone: 720-644-9255
  • Fax:
Mailing address:
  • Phone: 720-644-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1000163-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: