MEDICARE: KRISTA DANNA

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	235Z00000X	Speech-Language Pathologist	14360027	CO

General Provider Information

NPI Number	:	1417724485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA DANNA

Provider Business Mailing Address
First Line	:	472 S WHEELING ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-3571
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 WEWATTA WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3734
Country	:	US
Telephone Number	:	716-361-8647
Fax Number	:

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

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	12/08/2023

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Directions to “ KRISTA DANNA ” Practice Location

Language	Start Address	Practice Location

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