Healthcare Provider Details

I. General information

NPI: 1710761309
Provider Name (Legal Business Name): PAULA VOGEL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 GRANT ST
THORNTON CO
80229-2154
US

IV. Provider business mailing address

9720 GRANT ST
THORNTON CO
80229-2154
US

V. Phone/Fax

Practice location:
  • Phone: 303-576-3499
  • Fax: 303-576-9492
Mailing address:
  • Phone: 303-756-3499
  • Fax: 303-756-9492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.00998865-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: