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NPI Code Detail

MEDICARE: MS. MARA TALIN MINASIAN APRN

MEDICARE: MS. MARA TALIN MINASIAN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0999374-NPCO

General Provider Information

NPI Number : 1033724976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARA TALIN MINASIAN APRN
Provider Business Mailing Address
First Line : 5335 W 48TH AVE STE 500
Second Line :
City : DENVER
State : CO
Zip : 80212-2732
Country : US
Telephone Number : 720-254-1398
Fax Number : 949-703-8795
Provider Business Practice Location Address
First Line : 12303 AIRPORT WAY STE 125
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2729
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 02/16/2026

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