MEDICARE: ABAGAIL M EHEART

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	1041S0200X	School Social Worker	0009924981	CO

General Provider Information

NPI Number	:	1992515894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABAGAIL M EHEART

Provider Business Mailing Address
First Line	:	234 S LOWELL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 S LOWELL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1936
Country	:	US
Telephone Number	:	720-940-4536
Fax Number	:

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

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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Directions to “ ABAGAIL M EHEART ” Practice Location

Language	Start Address	Practice Location

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