Healthcare Provider Details

I. General information

NPI: 1952182438
Provider Name (Legal Business Name): CHRISTINA MARIE CHANEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

V. Phone/Fax

Practice location:
  • Phone: 303-269-4347
  • Fax: 303-269-4661
Mailing address:
  • Phone: 303-269-4347
  • Fax: 303-269-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998688-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: