Brian Dale Acres
Individual provider Active NPI Ambulatory Care Registered Nurse · Lafayette, CO
NPI 1174865752 · NPPES record last updated Mar 21, 2013
Key facts
- NPI
- 1174865752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 163WP2201X (CO)
- Practice address
- 280 Exempla Cir
Lafayette, CO 80026-3370 - Phone
- (303) 338-4545
- NPI assigned
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163WP2201X | CO | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 163WP2201X | CO | Yes |
Addresses
Primary practice location
280 Exempla Cir
Lafayette, CO 80026-3370
Mailing address
151 Keystone TRL
Broomfield, CO 80020-9675
Phone (970) 568-2631
Other providers in Lafayette, CO
- Chaya Malka Abrams
- Phyllis S Acker
- Acorn to Oak Occupational Therapy, LLC
- Acorn to Oak Occupational Therapy, LLC
- Lizbeth Acosta-Aguilar
- Alexis Benet Adams
- Megan Marie Adamson
- Adapthealth West, LLC
- Adult Care Management, Inc.
- Adult Care Management, Inc.
All providers in Lafayette, CO · Ambulatory Care Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.