Provider Demographics
NPI:1225492937
Name:FLEMING, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:
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 461664
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-1664
Mailing Address - Country:US
Mailing Address - Phone:720-501-9145
Mailing Address - Fax:
Practice Address - Street 1:13902 E STANFORD CIR
Practice Address - Street 2:A4
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-5661
Practice Address - Country:US
Practice Address - Phone:303-501-9145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor