Healthcare Provider Details

I. General information

NPI: 1235680257
Provider Name (Legal Business Name): UMA SITAULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3919 E 120TH AVE STE A
THORNTON CO
80233-1693
US

IV. Provider business mailing address

6107 E 141ST LN
THORNTON CO
80602-8367
US

V. Phone/Fax

Practice location:
  • Phone: 720-345-2783
  • Fax: 606-777-7865
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1618047
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: