Individual provider · Type 1 NPI

Autumn Celia Facktor, NP

Nurse Practitioner · Denver, CO

NPI number 1740134790 Active

Practice location

777 Bannock St
Denver, CO 80204-4597

Call (303) 436-6000 Map

Mailing address

3120 Pearl Pkwy Apt 324
Boulder, CO 80301-2517

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.1691721 (CO)
Nurse Practitioner Primary 363L00000X1001662-NP (CO)

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 1740134790

Autumn Celia Facktor, NP's National Provider Identifier is 1740134790, issued on Feb 25, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Denver, CO. The record was last updated on Feb 25, 2026.