Individual provider · NPI-1
Alisa Coleen Burkhalter, NP
Nurse Practitioner, Obstetrics & Gynecology · Englewood, CO
NPI number1821246836
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1821246836
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alisa Coleen Burkhalter
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2008
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | 5333 | CO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 160383 | CO |
Practice location
180 E Hampden Ave Ste 100Englewood, CO 80113-2517
Phone 303-789-4968
Mailing address
180 E Hampden Ave Ste 100Englewood, CO 80113-2517
Phone 303-789-4968
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