Provider Demographics
NPI:1871623710
Name:GRAESER, MEGAN M (APRN-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:GRAESER
Suffix:
Gender:
Credentials:APRN-BC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5486
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-5486
Mailing Address - Country:US
Mailing Address - Phone:720-923-1250
Mailing Address - Fax:303-284-4082
Practice Address - Street 1:10900 W 44TH AVE UNIT 200
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2742
Practice Address - Country:US
Practice Address - Phone:303-379-9371
Practice Address - Fax:303-284-4082
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.169159-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62330080Medicaid
COCO306626Medicare PIN