Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A146300 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A146300 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DR.0067159 | CO |
NPI | 1801274964 |
---|---|
Provider Name | Dr. Erin C Capitena |
First Address | Denver, CO 80247-1314 |
Second Address | Lone Tree, CO 80124-5425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 06/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029290 | KAISER COMMERCIAL NUMBER (01) | CO |