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NPI Code Detail

MEDICARE: DR. DANIELLE ANN WHITACRE M.D.

MEDICARE: DR. DANIELLE ANN WHITACRE M.D.
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
1207Q00000XFamily Medicine PhysicianCDRH.0046039CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CDRH.0046039OTHERCOCOLORADO STATE LICENSE
2DR0046039OTHERCOCOLORADO STATE LICENSE
3R4658OTHERTXTEXAS STATE LICENSE

General Provider Information

NPI Number : 1134316540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE ANN WHITACRE M.D.
Provider Business Mailing Address
First Line : 12600 W COLFAX AVE STE B200
Second Line :
City : LAKEWOOD
State : CO
Zip : 80215-3736
Country : US
Telephone Number : 303-993-1330
Fax Number : 303-284-4082
Provider Business Practice Location Address
First Line : 12600 W COLFAX AVE STE B200
Second Line :
City : LAKEWOOD
State : CO
Zip : 80215-3736
Country : US
Telephone Number : 303-993-1330
Fax Number : 303-957-5757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2007
Last Update Date : 07/16/2024

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