Healthcare Provider Details

I. General information

NPI: 1720983083
Provider Name (Legal Business Name): BRITTANY M SMITH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5290 E 130TH CIR
THORNTON CO
80241-1564
US

IV. Provider business mailing address

5290 E 130TH CIR
THORNTON CO
80241-1564
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8113
  • Fax:
Mailing address:
  • Phone: 303-825-8113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: