Healthcare Provider Details

I. General information

NPI: 1407779507
Provider Name (Legal Business Name): BRITNEY MAY KANAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9595 W 49TH AVE
WHEAT RIDGE CO
80033-2279
US

IV. Provider business mailing address

2025 CHERRY ST
DENVER CO
80207-3746
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-0300
  • Fax:
Mailing address:
  • Phone: 303-947-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN.1631223
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: