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NPI Code Detail

MEDICARE: MATTHEW MARION COLEMAN NP

MEDICARE: MATTHEW MARION COLEMAN NP
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
1163WH1000XHospice Registered NurseRN.1639068CO
2363LF0000XFamily Nurse PractitionerAPN.1001328-NPCO

General Provider Information

NPI Number : 1588453765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW MARION COLEMAN NP
Provider Business Mailing Address
First Line : 9250 E COSTILLA AVE STE 540
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80112-3648
Country : US
Telephone Number : 720-644-9355
Fax Number :
Provider Business Practice Location Address
First Line : 305 CARPENTER RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4248
Country : US
Telephone Number : 970-663-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 03/25/2026

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