Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 47890 | CO |
N | 111NI0900X | Internist | 47890 | CO |
Y | 207RC0000X | Internist - Cardiovascular Disease | DR.0047890 | CO |
NPI | 1013063783 |
---|---|
Provider Name | Dr. Heather A Raff |
First Address | Denver, CO 80247-1314 |
Second Address | Lafayette, CO 80026-3370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020975 | KAISER COMMERCIAL NUMBER (01) | CO |
88474763 | (05) | CO |