Mary Jane Austin, NP
Nurse Practitioner in Denver, CO. Individual provider (NPI-1).
NPI number1104018738
StatusActive
Last updated in NPPESAug 14, 2012
Details
- NPI
- 1104018738
- Entity type
- Individual (NPI-1)
- Name
- Mary Jane Austin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2007
- Last updated
- Aug 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5335 | CO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 51885 | CO |
Practice location
2045 Franklin StDenver, CO 80205-5437
Phone 303-338-4545
Mailing address
2045 Franklin StDenver, CO 80205-5437
Phone 303-338-4545
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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