Healthcare Provider Details

I. General information

NPI: 1205745908
Provider Name (Legal Business Name): MEAGAN ANNE MCCARTHY-ZAYACH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 HURON ST
THORNTON CO
80260-6805
US

IV. Provider business mailing address

1205 KOHL ST
BROOMFIELD CO
80020-3421
US

V. Phone/Fax

Practice location:
  • Phone: 303-386-7622
  • Fax:
Mailing address:
  • Phone: 720-822-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002384
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: