Provider Demographics
NPI:1689890303
Name:ASSENTI, DONNA MARIE GRANDI (MSN, FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE GRANDI
Last Name:ASSENTI
Suffix:
Gender:
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:GRANDI-NIKANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:PO BOX 21150
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80308-4150
Mailing Address - Country:US
Mailing Address - Phone:303-546-9158
Mailing Address - Fax:303-546-9107
Practice Address - Street 1:22064 E BERRY PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6455
Practice Address - Country:US
Practice Address - Phone:303-444-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO108256363LF0000X
CA7047363LP0808X
COAPN.0002159-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO108256OtherCO LICENSE
CO108256OtherCO LICENSE
COC521628Medicare PIN