Provider Demographics
NPI:1699825307
Name:MCPHEE, DARLENE MARIAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MARIAN
Last Name:MCPHEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1607 BABCOCK LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-1427
Mailing Address - Country:US
Mailing Address - Phone:719-575-8508
Mailing Address - Fax:719-578-3114
Practice Address - Street 1:301 S UNION BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3123
Practice Address - Country:US
Practice Address - Phone:719-575-8508
Practice Address - Fax:719-578-3114
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN70223363L00000X
COAPN.0003623-NP207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19487746Medicaid