Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0990929 | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | SP011773 | PA |
NPI | 1003183260 |
---|---|
Provider Name | Erin Lin |
First Address | Denver, CO 80230-6419 |
Second Address | Greenwood Village, CO 80111-5139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2011 |
Last Update Date | 27/07/2015 |