MEDICARE: MARY ABBOTT RN

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	163W00000X	Registered Nurse	1675288	CO

General Provider Information

NPI Number	:	1881538247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ABBOTT RN

Provider Business Mailing Address
First Line	:	15083 E 43RD AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-5147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 E LOWRY BLVD STE 350
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-6510
Country	:	US
Telephone Number	:	720-848-9111
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ MARY ABBOTT RN” Practice Location

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