Provider Demographics
NPI:1245312081
Name:GIRARD, JOAN C (NP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:C
Last Name:GIRARD
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:4990 S. MONACO ST
Mailing Address - Street 2:SUITE210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-788-8808
Mailing Address - Fax:303-788-6656
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-788-8808
Practice Address - Fax:303-788-6656
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2019-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO31363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO99306301Medicaid