Provider Demographics
NPI:1013403914
Name:FLORES, ERIK ALFONSO (NP)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:ALFONSO
Last Name:FLORES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 W 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-1832
Mailing Address - Country:US
Mailing Address - Phone:303-915-1835
Mailing Address - Fax:
Practice Address - Street 1:4 W DRY CREEK CIR STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4457
Practice Address - Country:US
Practice Address - Phone:720-469-2845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1654911163WP0808X
NY695455-1163WP0808X
CO0993973363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health