Basic Information
| Provider Information | |||||||||
| NPI: | 1013993773 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HONEA | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2127 E HARMONY RD | ||||||||
| Address2: | STE 140 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805283405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702976250 | ||||||||
| FaxNumber: | 9702976260 | ||||||||
| Practice Location | |||||||||
| Address1: | 2127 E HARMONY RD | ||||||||
| Address2: | STE 140 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805283405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702976250 | ||||||||
| FaxNumber: | 9702976260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2005 | ||||||||
| LastUpdateDate: | 06/17/2014 | ||||||||
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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 | 363L00000X | 58113 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | COAAA1902 | 01 | CO | MEDICARE PTAN FOR WOUND CARE ASSOCIATES, PRESIDENT/CO-OWNER | OTHER | 22303855 | 05 | CO | MEDICAID |