Healthcare Provider Details

I. General information

NPI: 1003704792
Provider Name (Legal Business Name): UMA GURUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 W 100TH WAY
WESTMINSTER CO
80021-3778
US

IV. Provider business mailing address

9150 W 100TH WAY
WESTMINSTER CO
80021-3778
US

V. Phone/Fax

Practice location:
  • Phone: 720-383-1650
  • Fax:
Mailing address:
  • Phone: 720-383-1650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001015-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: