Doctor Name: | BRITT SEVERSON |
NPI Number: | 1639433618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TL-4441 |
Business Practice Address: | 8990 Washington St Thornton, CO - 802294537 |
Business Phone Number: | 7209291655 |
Business Fax Number: | |
Mailing Address: | 1345 Plaza Court North, Ste 1a LAFAYETTE |
State: | CO |
Postal Code: | 800262832 |
Phone Number: | 3036653036 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-4441 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |