MEDICARE: GISELA HOLLON

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	174N00000X	Lactation Consultant (Non-RN)	349556	CO
2	374J00000X	Doula

General Provider Information

NPI Number	:	1689417701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISELA HOLLON

Provider Business Mailing Address
First Line	:	1912 S MAGNOLIA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 DELAWARE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4532
Country	:	US
Telephone Number	:	303-602-9000
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	04/19/2026

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Directions to “ GISELA HOLLON ” Practice Location

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