Basic Information
Provider Information
NPI: 1063700797
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELKEY
FirstName: ERIN
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8000 E MAPLEWOOD AVE
Address2: STE 200
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801114727
CountryCode: US
TelephoneNumber: 8603347619
FaxNumber:  
Practice Location
Address1: 8000 E MAPLEWOOD AVE
Address2: STE 200
City: GREENWOOD VILLAGE
State: CO
PostalCode: 801114727
CountryCode: US
TelephoneNumber: 3034383999
FaxNumber: 7204399500
Other Information
ProviderEnumerationDate: 07/15/2011
LastUpdateDate: 05/10/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X10.100701CTN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000XAPN.0992309-CRNACOY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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