MARY ANNE M EAGELSTON NP
NPI 1316074347
Nurse Practitioner - Obstetrics & Gynecology in Littleton, CO

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.

Active since February 27, 2007

5257 S WADSWORTH BLVD, LITTLETON, CO 80123(303) 338-4545 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Anne M Eagelston Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANNE M EAGELSTON NP (NPI 1316074347) is an individual obstetrics & gynecology provider in Littleton, Colorado, licensed in Colorado (2967) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1316074347

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMARY ANNE M EAGELSTONCredential: NP

Location Address5257 S WADSWORTH BLVDLittleton, CO 80123-2228

Mailing Address5257 S Wadsworth BlvdLittleton, CO 80123-2228 · (303) 338-4545

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateFebruary 27, 2007

Last NPPES UpdateMay 21, 2012

✔ NPI 1316074347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in CO · 2967

Also ListedNurse PractitionerTaxonomy 363L00000X · License 124083 (CO)

5257 S WADSWORTH BLVD, Littleton, CO 80123

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Other Identifiers 4

Medicare PINC811791CO

Medicaid84205369CO

Medicare PINCOAAA4325CO

Other014791CO · Kaiser Commercial Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYNN K GERITY NP

Nurse Practitioner