NPI 1962953703 · Nurse Practitioner · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
DENVER, 80247
Freshness: Unknown
Network Status
Listed with 4 carriers
DORA License
No license data
Medicare
80 services
42 beneficiaries
$3,259.59 total payment
Specialty: Nurse Practitioner
Care Compare
Address matches NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.