Provider Demographics
NPI:1255495917
Name:LOSE, PATRICIA JANE (RN, CNM, ANP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JANE
Last Name:LOSE
Suffix:
Gender:F
Credentials:RN, CNM, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2638
Mailing Address - Country:US
Mailing Address - Phone:203-507-0011
Mailing Address - Fax:303-761-2787
Practice Address - Street 1:5045 QUITMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2638
Practice Address - Country:US
Practice Address - Phone:203-507-0011
Practice Address - Fax:303-761-2787
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0005931-NP367A00000X
CORXN.0006187-CNM367A00000X
CORN.0125903163W00000X
COAPN.0004840-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37987551OtherMEDICAID GROUP NUMBER
CO54025079OtherMEDICAID GROUP NUMBER
CO39309533Medicaid
COC810212OtherMEDICARE GROUP NUMBER
COC810240Medicare PIN