Provider Demographics
NPI:1962833525
Name:ISAACSON, DANA BETH
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:BETH
Last Name:ISAACSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:BETH
Other - Last Name:SEIDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP, FNP-BC
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:GROUND RAVDIN
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:303-320-2929
Mailing Address - Fax:303-320-2767
Practice Address - Street 1:4545 E 9TH AVE STE 400
Practice Address - Street 2:GROUND RAVDIN
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3904
Practice Address - Country:US
Practice Address - Phone:303-320-2929
Practice Address - Fax:303-320-2767
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013484363LF0000X
COAPN.0992806-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27918505Medicaid