Healthcare Provider Details

I. General information

NPI: 1801472816
Provider Name (Legal Business Name): CATHERINE MANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9949 S OSWEGO ST STE 300
PARKER CO
80134-3888
US

IV. Provider business mailing address

9949 S OSWEGO ST STE 300
PARKER CO
80134-3888
US

V. Phone/Fax

Practice location:
  • Phone: 303-649-3100
  • Fax: 303-649-3101
Mailing address:
  • Phone: 303-649-3100
  • Fax: 303-649-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0070255
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: