Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0995941 | CO |
N | 363L00000X | Nurse Practitioner | APN.0995941 | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0995941 | CO |
NPI | 1275134959 |
---|---|
Provider Name | Ritu Patel |
First Address | Golden, CO 80401-5069 |
Second Address | Golden, CO 80401-5069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2020 |
Last Update Date | 17/01/2022 |