Healthcare Provider Details

I. General information

NPI: 1992620215
Provider Name (Legal Business Name): MR. DARREN M. FRIESS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 ECLIPSE ST
WATKINS CO
80137-7188
US

IV. Provider business mailing address

1416 ECLIPSE ST
WATKINS CO
80137-7188
US

V. Phone/Fax

Practice location:
  • Phone: 720-333-7702
  • Fax:
Mailing address:
  • Phone: 720-333-7702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0102692
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: