Provider Demographics
NPI:1912428103
Name:OLIVER PIQUETTE, ANGELA RENEE (NNP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RENEE
Last Name:OLIVER PIQUETTE
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4597
Mailing Address - Country:US
Mailing Address - Phone:303-602-9250
Mailing Address - Fax:303-602-9262
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-9250
Practice Address - Fax:303-602-9262
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7935-33363LN0005X
UT10837199-4405363LN0005X
COC-APN.0001872-C-NP363LN0005X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care