Individual
DR. DANIELLE ANN WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(303) 993-1330
(303) 957-5757
Mailing address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(303) 993-1330
(303) 284-4082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CDRH.0046039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDRH.0046039
COLORADO STATE LICENSE
CO
01
—
DR0046039
COLORADO STATE LICENSE
CO
01
—
R4658
TEXAS STATE LICENSE
TX
Enumeration date
09/29/2007
Last updated
07/16/2024
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