Provider Demographics
NPI:1093996324
Name:REIFMAN, WILLIAM YALE (PA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:YALE
Last Name:REIFMAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5748
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-5748
Mailing Address - Country:US
Mailing Address - Phone:303-844-3000
Mailing Address - Fax:303-844-3002
Practice Address - Street 1:3151 S XERIC CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4550
Practice Address - Country:US
Practice Address - Phone:303-844-3000
Practice Address - Fax:303-994-2352
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0002981363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily