Mackenzie Allan

Individual provider Active NPI Registered Nurse · Brighton, CO

NPI 1245091073 · NPPES record last updated Jan 18, 2024

Key facts

NPI
1245091073
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1649364 (CO)
Practice address
4430 S Adams County Pkwy # 80601
Brighton, CO 80601-8222
Phone
(303) 200-9200
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1649364COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1649364 CO Yes

Addresses

Primary practice location

4430 S Adams County Pkwy # 80601
Brighton, CO 80601-8222

Mailing address

4430 S Adams County Pkwy # 80601
Brighton, CO 80601-8222
Phone (303) 200-9200

Other providers in Brighton, CO

All providers in Brighton, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.