Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Doe

Individual provider Case Management Registered Nurse · NPI 1134098833

Ethan Doe is a Case Management Registered Nurse in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2025.

Licensed in
CO
In the registry since
2025

Practice location Address checks out

3180 Airport Rd
Boulder, CO 80301-2208
Phone: (303) 447-1665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence RN.1675791 (CO)

Record details

NPI number1134098833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address11823 Ridge Pkwy Apt 817, Broomfield, CO 80021-5099

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