Healthcare Provider Details

I. General information

NPI: 1942248810
Provider Name (Legal Business Name): MICHAEL D TEMPLE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4856 SEDONA CIR
PARKER CO
80134-4525
US

IV. Provider business mailing address

4856 SEDONA CIR
PARKER CO
80134-4525
US

V. Phone/Fax

Practice location:
  • Phone: 303-884-0107
  • Fax:
Mailing address:
  • Phone: 303-884-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number332278
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number120834
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: