Provider Demographics
NPI:1366808073
Name:PATTERSON, ELVA JOANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:ELVA
Middle Name:JOANNE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 RINGSBY CT
Mailing Address - Street 2:STE 105
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-4923
Mailing Address - Country:US
Mailing Address - Phone:303-280-0900
Mailing Address - Fax:303-280-3858
Practice Address - Street 1:3455 RINGSBY CT
Practice Address - Street 2:STE 105
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-4923
Practice Address - Country:US
Practice Address - Phone:303-280-0900
Practice Address - Fax:303-280-3858
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0991989-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75370263Medicaid
CO75370263Medicaid