Provider Demographics
NPI:1831226844
Name:GOLDEN, MARGE R (RN, CNS, RXN)
Entity type:Individual
Prefix:MRS
First Name:MARGE
Middle Name:R
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:RN, CNS, RXN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:HIGHLINE CENTER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:303-367-2900
Mailing Address - Fax:303-367-2929
Practice Address - Street 1:10350 E DAKOTA AVE
Practice Address - Street 2:HIGHLINE CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1314
Practice Address - Country:US
Practice Address - Phone:303-367-2900
Practice Address - Fax:303-367-2929
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41560364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
014519OtherKAISER-COMMERCIAL NUMBER