Provider Demographics
NPI:1457487266
Name:KLEIN, MAUREEN HARDEN (NP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:HARDEN
Last Name:KLEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:MARGARET
Other - Last Name:HARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:12500 W 58TH AVE
Mailing Address - Street 2:SUITE 233
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1103
Mailing Address - Country:US
Mailing Address - Phone:720-536-5282
Mailing Address - Fax:720-596-4364
Practice Address - Street 1:12500 W 58TH AVE
Practice Address - Street 2:SUITE 233
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1103
Practice Address - Country:US
Practice Address - Phone:720-536-5282
Practice Address - Fax:720-596-4364
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO53906363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53177771Medicaid