MEDICARE: CAITLIN LIBRANDE 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	RN.1627472	CO
2	363LF0000X	Family Nurse Practitioner	0994717	CO
3	363L00000X	Nurse Practitioner	APN.0994719-NP	CO

General Provider Information

NPI Number	:	1982123949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN LIBRANDE RN

Provider Business Mailing Address
First Line	:	2133 S HUMBOLDT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4618
Country	:	US
Telephone Number	:	303-601-1331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S. PARKER ROAD, BLDG 2, STE 120
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-8001
Country	:	US
Telephone Number	:	303-343-9500
Fax Number	:

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

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	09/19/2022

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