MEDICARE: JOSEPHINE ANNA GRIEGO FNP-C

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
1	363LF0000X	Family Nurse Practitioner	1001458	CO

General Provider Information

NPI Number	:	1164374229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE ANNA GRIEGO FNP-C

Provider Business Mailing Address
First Line	:	13905 BERRY RD
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-1519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 S PUBLIC RD
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-7093
Country	:	US
Telephone Number	:	303-650-4460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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