Organization · Type 2 NPI

Portercare Adventist Health System

Nurse Practitioner · Castle Rock, CO

NPI number 1689530826 Active

Practice location

2350 Meadows Blvd
Castle Rock, CO 80109-8405

Fax (720) 455-0201

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689530826

Portercare Adventist Health System's National Provider Identifier is 1689530826, issued on Dec 31, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Castle Rock, CO. The record was last updated on Dec 31, 2025.