Basic Information
Provider Information
NPI: 1457533721
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARRITHERS
FirstName: ERIN
MiddleName: IRENE
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 RAMPART WAY
Address2: STE 300B
City: DENVER
State: CO
PostalCode: 802306440
CountryCode: US
TelephoneNumber: 3033274700
FaxNumber:  
Practice Location
Address1: 10099 RIDGEGATE PKWY
Address2: STE 310
City: LONE TREE
State: CO
PostalCode: 801245531
CountryCode: US
TelephoneNumber: 3037998760
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/28/2007
LastUpdateDate: 07/23/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X160422COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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