Provider Demographics
NPI:1104907708
Name:MICELI, JANE FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:FRANCES
Last Name:MICELI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1830 FRANKLIN ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1128
Mailing Address - Country:US
Mailing Address - Phone:720-258-4042
Mailing Address - Fax:303-825-8561
Practice Address - Street 1:1830 FRANKLIN ST
Practice Address - Street 2:SUITE 500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1128
Practice Address - Country:US
Practice Address - Phone:720-258-4042
Practice Address - Fax:303-825-8561
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2011-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO305402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO451368Medicare ID - Type UnspecifiedGROUP OF 1 IDENTIFIER
COF65312Medicare UPIN
CO451378Medicare ID - Type UnspecifiedPROVIDER ID