MEDICARE: EMILY ANN GEDDES WHNP

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	363LW0102X	Women's Health Nurse Practitioner	APN.1000836-NP	CO

General Provider Information

NPI Number	:	1477386688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN GEDDES WHNP

Provider Business Mailing Address
First Line	:	4082 CLEAR CREEK DR APT 400
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2079
Country	:	US
Telephone Number	:	713-449-7744
Fax Number	:

Provider Business Practice Location Address
First Line	:	12207 PECOS ST STE 500
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3888
Country	:	US
Telephone Number	:	303-797-5595
Fax Number	:

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

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	03/18/2026

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