Basic Information
| Provider Information | |||||||||
| NPI: | 1972659597 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRANADILLO | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 E HAMPDEN AVE | ||||||||
| Address2: | ENGLEWOOD | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801133781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037887888 | ||||||||
| FaxNumber: | 3037887592 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 E HAMPDEN AVE | ||||||||
| Address2: | ENGLEWOOD | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801133781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037887888 | ||||||||
| FaxNumber: | 3037887592 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2007 | ||||||||
| LastUpdateDate: | 10/08/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 45486 | CO | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.