SUSAN MANIFOLD N.P.
NPI 1396774121
Nurse Practitioner in Denver, CO

Active since July 02, 2006
4200 E 9TH AVE, DENVER, CO 80220(303) 372-0000 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Manifold N.p. NPPES

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

SUSAN MANIFOLD N.P. (NPI 1396774121) is an individual nurse practitioner in Denver, Colorado, licensed in Colorado (140116) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396774121
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN MANIFOLDCredential: N.P.
Location Address4200 E 9TH AVEDenver, CO 80220-3706
Mailing Address6804 Cecelia DrNew Port Richey, FL 34653-4935 · (727) 232-0644 · Fax (888) 546-0488
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 29, 2016
NPI 1396774121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CO · 140116
Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4200 E 9TH AVE, Denver, CO 80220

Other Identifiers 3

Medicare PINC523398CO
Medicare UPINP87545CO
Medicare ID-Type Unspecified523398CO

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
4200 E 9TH AVE
DENVER, CO 80220
Radiology (Nuclear Radiology)
4200 E 9TH AVE
DENVER, CO 80220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396774121, enumerated as an "individual" on July 02, 2006.

The provider is located at 4200 E 9TH AVE DENVER, CO 80220 and the phone number is (303) 372-0000.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.