MARY ANNE M EAGELSTON NP NPI 1316074347

NPI Information

  • NPI: 1316074347
  • Provider Name: MARY ANNE M EAGELSTON, NP
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • Address: 5257 S WADSWORTH BLVD
    LITTLETON, CO
    ZIP 80123
  • Phone: (303) 338-4545

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NPI Details

Mary Anne M Eagelston, NP is an obstetrics and gynecology nurse practitioner in Littleton, CO. Mary Anne M Eagelston, NP NPI is 1316074347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5257 S WADSWORTH BLVD
LITTLETON, CO
ZIP 80123-228
Phone: (303) 338-4545

The enumeration date for this NPI number is 2/27/2007 and was last updated on 5/21/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner124083COLORADONo
2363LX0001XNurse PractitionerObstetrics & Gynecology2967COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C811791MEDICARE PINCOLORADO
284205369MEDICAIDCOLORADO
3COAAA4325MEDICARE PINCOLORADO
4014791OTHERCOLORADOKAISER COMMERCIAL NUMBER

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: 3/30/2025

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