MEDICARE: MS. LEE ANNE MERRIFIELD APN, RXN, RN

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	163W00000X	Registered Nurse	183246	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0991148	CO

General Provider Information

NPI Number	:	1306164611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEE ANNE MERRIFIELD APN, RXN, RN

Provider Business Mailing Address
First Line	:	1290 CHAMBERS RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-7117
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	791 CHAMBERS RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-0000
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:

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

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	03/18/2021

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