Healthcare Provider Details

I. General information

NPI: 1487570107
Provider Name (Legal Business Name): BRIANNA MARIE OLPS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 LUTHERAN PKWY STE 180
WHEAT RIDGE CO
80033-6000
US

IV. Provider business mailing address

3555 LUTHERAN PKWY STE 180
WHEAT RIDGE CO
80033-6000
US

V. Phone/Fax

Practice location:
  • Phone: 720-802-0957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0009876
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: