Provider Demographics
NPI:1194841718
Name:SINGH, HEATHER M (NP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:SINGH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-301-9019
Mailing Address - Fax:303-861-6254
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:STE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:303-301-9019
Practice Address - Fax:303-861-6254
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO112556363L00000X
CO5231363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO018089OtherKAISER COMMERCIAL NUMBER
CO30986796Medicaid
KS201072770AMedicaid
WY1194817118Medicaid
WY1194817118Medicaid
COCOA103476Medicare PIN