Eileen Flaherty, NP
Individual provider Active NPI Nurse Practitioner · Estes Park, CO
NPI 1619940657 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1619940657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APN.0001979-NP (CO)
- Practice address
- 1950 Redtail Hawk Dr
Estes Park, CO 80517-9780 - Phone
- (970) 586-9230
- Fax
- (970) 586-0292
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0001979-NP | CO | Yes |
Addresses
Primary practice location
1950 Redtail Hawk Dr
Estes Park, CO 80517-9780
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47588373 | Medicaid | CO |
Other providers in Estes Park, CO
- Estes Park Physical Therapy PLLC
- Estes Park Takxi LLC
- Estes Valley Anesthesia LLC
- Hannah Elena Schwartz Fields
- Fire Mountain Residential Treatment Center, Inc.
- Paul W Fonken
- Nicole Frens
- Amber Galey
- Shanda Mariel Gomes
- Ixah Xochitl Gonzalez Gallegos
All providers in Estes Park, CO · Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 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.