Basic Information
| Provider Information | |||||||||
| NPI: | 1760157408 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CONTRERAS | ||||||||
| FirstName: | MEGHANN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3375 BOULDER CIR UNIT 101 | ||||||||
| Address2: | |||||||||
| City: | BROOMFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800234288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7202036071 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4715 ARAPAHOE AVE | ||||||||
| Address2: | |||||||||
| City: | BOULDER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 803031385 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033852000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2021 | ||||||||
| LastUpdateDate: | 08/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | F08210421 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.