Doctor Name: | SUZANNE MARIE EHLER |
NPI Number: | 1003205295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 991382 |
Business Practice Address: | 9695 S Yosemite St Ste #324 Lone Tree, CO - 801242888 |
Business Phone Number: | 3037069054 |
Business Fax Number: | 3033029799 |
Mailing Address: | 1707 Cole Blvd, Ste #100 GOLDEN |
State: | CO |
Postal Code: | 804013220 |
Phone Number: | 3037168013 |
Fax Number: | 3037635495 |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 991382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |