Doctor Name: | MRS. PATRICIA LYNN HEAD |
NPI Number: | 1083935845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 98310 |
Business Practice Address: | 5920 Mcintyre St Golden, CO - 804037445 |
Business Phone Number: | 3039491250 |
Business Fax Number: | |
Mailing Address: | 5920 Mcintyre St, GOLDEN |
State: | CO |
Postal Code: | 804037445 |
Phone Number: | 3039491250 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 98310 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |