Healthcare Provider Details

I. General information

NPI: 1992653372
Provider Name (Legal Business Name): MAYA LINDGREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7495 W 29TH AVE
WHEAT RIDGE CO
80033-8002
US

IV. Provider business mailing address

1100 NORTH AVENUE, DHS 117
GRAND JUNCTION CO
81501
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-2153
  • Fax:
Mailing address:
  • Phone: 970-248-1398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1648688
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002399-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: