Fraller, Deirdre Brett

Fraller, Deirdre Brett is an individual health care provider with primary practice located at 430 Indiana Street Suite 100 , Golden CO 80401-2605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fraller, Deirdre Brett can be contacted via phone (303) 736-9697.

Contact Information

Primary practice address
430 Indiana Street Suite 100 Golden CO 80401-2605
Phone: (303) 736-9697
Fax: (720) 306-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0992458-NP Colorado

Profile Details

NPI number 1386908861
LBN Legal business name Fraller, Deirdre Brett
Credentials DNP, ANP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated May 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386908861 NPPES
Colorado Other 0992458-NP COLORADO APN
Colorado Other 0102077-NP COLORADO APN
Colorado Other 1640875 COLORADO APN
Colorado MEDICAID 9000162792 COLORADO APN
Colorado MEDICAID 20770057 COLORADO APN
Colorado Other 84-0832336 COLORADO APN

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