DR. DAWN ANN FETZKO NP NPI 1346464070

NPI Information

NPI: 1346464070
Provider Name: DR. DAWN ANN FETZKO, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
14991 E HAMPDEN AVE STE 110
AURORA, CO
ZIP 80014
Phone: (303) 343-9500
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DR. Dawn Ann Fetzko, NP is an adult health nurse practitioner in Aurora, CO with 38 years of experience. DR. Dawn Ann Fetzko, NP NPI is 1346464070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14991 E HAMPDEN AVE STE 110
AURORA, CO
ZIP 80014-980
Phone: (303) 343-9500

The NPI 1346464070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	83424	COLORADO	No
2	363L00000X	Nurse Practitioner		83424	COLORADO	No
3	363LG0600X	Nurse Practitioner	Gerontology	83424	COLORADO	No
4	363LA2200X	Nurse Practitioner	Adult Health	APN.0002691-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	53253337	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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