MEDICARE: AMANDA GRIFFITH

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	363LG0600X	Gerontology Nurse Practitioner	APN.0995172-NP	CO

General Provider Information

NPI Number	:	1699329029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA GRIFFITH

Provider Business Mailing Address
First Line	:	5920 MCINTYRE ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80403-7445
Country	:	US
Telephone Number	:	720-434-4876
Fax Number	:	303-225-4246

Provider Business Practice Location Address
First Line	:	4610 S ULSTER ST STE 150
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-4326
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:	888-803-3331

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

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	02/10/2026

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Directions to “ AMANDA GRIFFITH ” Practice Location

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