Healthcare Provider Details

I. General information

NPI: 1679129118
Provider Name (Legal Business Name): BRITTNEY PAIGE QUANDT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTNEY PAIGE KEYS

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 02/03/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W. 15TH ST., SUITE 200
PUEBLO CO
80111
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US

V. Phone/Fax

Practice location:
  • Phone: 719-296-6000
  • Fax: 719-545-1146
Mailing address:
  • Phone: 303-930-7803
  • Fax: 33-930-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPN.0994892-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberAPN.0994892-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAPN.0994892-NP
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberAPN.0994892-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: