Provider Demographics
NPI:1407018849
Name:ESPRIT WOMAN CARE PC
Entity Type:Organization
Organization Name:ESPRIT WOMAN CARE PC
Other - Org Name:ESPRIT WOMAN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-766-0197
Mailing Address - Street 1:9397 CROWN CREST BLVD.
Mailing Address - Street 2:SUITE 320
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138
Mailing Address - Country:US
Mailing Address - Phone:303-766-0197
Mailing Address - Fax:303-766-0187
Practice Address - Street 1:9397 CROWN CREST BLVD STE 320
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8788
Practice Address - Country:US
Practice Address - Phone:303-766-0197
Practice Address - Fax:303-766-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03381021Medicaid