Individual
AUTUMN CELIA FACKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
3120 PEARL PKWY APT 324, BOULDER, CO 80301-2517
(608) 446-7959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1691721
CO
363L00000X
Nurse Practitioner
Primary
1001662-NP
CO
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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