Provider Demographics
NPI:1285170167
Name:FLAUDING, JOHN (NP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:FLAUDING
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9956 W REMINGTON PL UNIT A8
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6733
Mailing Address - Country:US
Mailing Address - Phone:720-361-2302
Mailing Address - Fax:720-728-8617
Practice Address - Street 1:9956 W REMINGTON PL UNIT A8
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6733
Practice Address - Country:US
Practice Address - Phone:720-361-2302
Practice Address - Fax:720-728-8617
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1617564163W00000X
COAPN.0992922-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORN.1617564OtherRN LICENSE