Provider Demographics
NPI:1164127197
Name:SANTACROCE, ALLISON (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:SANTACROCE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:KNOCKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7351 E. LOWRY BLVD, STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230
Mailing Address - Country:US
Mailing Address - Phone:720-677-9985
Mailing Address - Fax:
Practice Address - Street 1:8199 E. 1ST AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230
Practice Address - Country:US
Practice Address - Phone:877-825-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0100556-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC-APN.0100556-C-NPOtherSTATE LICENSE