Provider Demographics
NPI:1417407263
Name:HALLIGAN, MAUREEN
Entity type:Individual
Prefix:MISS
First Name:MAUREEN
Middle Name:
Last Name:HALLIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 S WOLCOTT CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5003
Mailing Address - Country:US
Mailing Address - Phone:619-322-9071
Mailing Address - Fax:
Practice Address - Street 1:2141 S WOLCOTT CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5003
Practice Address - Country:US
Practice Address - Phone:619-322-9071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN0140085163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse