Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0992852-NP | CO |
N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0992852-NP | CO |
N | 363LA2200X | Nurse Practitioner - Adult Health | APN.0992852-NP | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN.0992852 | CO |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APN.0992852-NP | CO |
NPI | 1437694668 |
---|---|
Provider Name | Ms. Ricko Fahy Rask |
First Address | Golden, CO 80403-7445 |
Second Address | Golden, CO 80403-7445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2016 |
Last Update Date | 07/04/2021 |