1700868247 NPI number — DIANE GENOVA NP

Table of content: DIANE GENOVA NP (NPI 1700868247)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700868247 NPI number — DIANE GENOVA NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GENOVA
Provider First Name:
DIANE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRYE
Provider Other First Name:
DIANE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700868247
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5920 MCINTYRE ST
Provider Second Line Business Mailing Address:
300B
Provider Business Mailing Address City Name:
GOLDEN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80403-7445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-434-4876
Provider Business Mailing Address Fax Number:
303-225-4246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5920 MCINTYRE ST
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
GOLDEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80403-7445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-434-4876
Provider Business Practice Location Address Fax Number:
303-225-4246
Provider Enumeration Date:
11/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  106168 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 87680564 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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