Provider Demographics
NPI:1801666938
Name:BURGART, TAYLOR LEE (DNP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LEE
Last Name:BURGART
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7750 S BROADWAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2630
Mailing Address - Country:US
Mailing Address - Phone:303-734-2090
Mailing Address - Fax:303-734-2095
Practice Address - Street 1:7750 S BROADWAY STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2630
Practice Address - Country:US
Practice Address - Phone:303-734-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997599-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner