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CHERRY CREEK FAMILY MEDICINE NPI 1578932539


NPI Information

NPI: 1578932539
Provider Name: CHERRY CREEK FAMILY MEDICINE

Doing Business As: CHERRY CREEK FAMILY MEDICINE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
6551 S REVERE PKWY
SUITE 120
CENTENNIAL, CO
ZIP 80111
Phone: (720) 699-7672
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CHERRY CREEK FAMILY MEDICINE is a family nurse practitioner in Centennial, CO. CHERRY CREEK FAMILY MEDICINE NPI is 1578932539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cherry Creek Family Medicine.

The provider's business location address is:

6551 S REVERE PKWY
SUITE 120
CENTENNIAL, CO
ZIP 80111
Phone: (720) 699-7672
Fax: (720) 699-7673

The provider's authorized official is Monica Garbiso .
The authorized official title is Owner and has the following contact phone number (719) 671-3097.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 1/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAPN0010276NPCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
182180075MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.