MEDICARE: HALEY MARILYN HOUTCHENS

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	363L00000X	Nurse Practitioner	APN.0998113-NP	CO
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1417673401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY MARILYN HOUTCHENS

Provider Business Mailing Address
First Line	:	1450 DEXTER ST # 160
Second Line	:
City	:	FORT LUPTON
State	:	CO
Zip	:	80621-1503
Country	:	US
Telephone Number	:	303-857-7873
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 DEXTER ST # 160
Second Line	:
City	:	FORT LUPTON
State	:	CO
Zip	:	80621-1503
Country	:	US
Telephone Number	:	303-857-7873
Fax Number	:

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

Provider Enumeration Date	:	10/12/2022
Last Update Date	:	12/16/2022

Similar Medicare Providers

1063964096 — SUSAN HAYES DNP, FNP
Practice Location Address:

1450 DEXTER ST
FORT LUPTON, CO
80621-1503

Practice Phone: 303-857-2087
Practice Fax:

1609405653 — DR. HEE CHONG JENNIFER ZIMMERMAN MD
Practice Location Address:

1450 DEXTER ST # 102
FORT LUPTON, CO
80621-1503

Practice Phone: 303-857-7873
Practice Fax: 303-857-7926

1881218519 — PLATTE VALLEY MEDICAL GROUP, LLC
Practice Location Address:

1450 DEXTER ST STE 101
FORT LUPTON, CO
80621-1503

Practice Phone: 303-857-2087
Practice Fax: 303-857-2385

1073139648 — PLATTE VALLEY MEDICAL GROUP, LLC
Practice Location Address:

1450 DEXTER ST STE 102
FORT LUPTON, CO
80621-1503

Practice Phone: 303-857-7873
Practice Fax: 303-857-7926

1770313199 — TERESA VASQUEZ FNP-BC
Practice Location Address:

1450 DEXTER ST
FORT LUPTON, CO
80621-1503

Practice Phone: 303-857-2087
Practice Fax:

1609884212 — RENAISSANCE CARE, INC.
Practice Location Address:

1503 CARROLL RD
FORT WAYNE, IN
46845-9779

Practice Phone: 260-637-5537
Practice Fax: 260-637-5537

Directions to “ HALEY MARILYN HOUTCHENS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.