1699910240 NPI number — DR. ANDREA MARIA AUXIER PH.D.

Table of content: DR. ANDREA MARIA AUXIER PH.D. (NPI 1699910240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699910240 NPI number — DR. ANDREA MARIA AUXIER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AUXIER
Provider First Name:
ANDREA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699910240
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
203 SOUTH ROLLIE AVE
Provider Second Line Business Mailing Address:
PLAN DE SALUD DEL VALLE, INC.
Provider Business Mailing Address City Name:
FORT LUPTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80621
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-286-4560
Provider Business Mailing Address Fax Number:
303-286-4589

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5995 IRIS PARKWAY
Provider Second Line Business Practice Location Address:
SALUD FAMILY HEALTH CENTERS
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-833-2050
Provider Business Practice Location Address Fax Number:
303-833-9183
Provider Enumeration Date:
12/11/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3246 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)