Foothills Vaccine Clinic LLC

Organization Active NPI Family Nurse Practitioner · Littleton, CO

NPI 1356920573 · NPPES record last updated Jan 9, 2025

Key facts

NPI
1356920573
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
FOOTHILLS VACCINE CLINIC LLC
Practice address
2679 W Main St Ste 300-220
Littleton, CO 80120-1950
Phone
(303) 720-9369
NPI assigned
Apr 5, 2021
Organization subpart
No

Authorized official

Name
Darcy Koehn
Title
President
Phone
(303) 720-9369

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2679 W Main St
Ste 300220
Littleton, CO 80120
Phone (303) 720-9369

2679 W Main St
Littleton, CO 80120

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

2679 W Main St Ste 300-220
Littleton, CO 80120-1950

Mailing address

2679 W Main St
Littleton, CO 80120-1950
Phone (720) 669-3470

Other providers in Littleton, CO

All providers in Littleton, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.