Provider Demographics
NPI:1316215007
Name:FLANNERY, ANNETTE RILEY (RN, CNOR, RNFA, CSFA)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:RILEY
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA, CSFA
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:RILEY
Other - Last Name:ERICSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, CNOR, RNFA, CSFA
Mailing Address - Street 1:9777 S BUCKNELL WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129
Mailing Address - Country:US
Mailing Address - Phone:303-910-5770
Mailing Address - Fax:303-683-8609
Practice Address - Street 1:9777 S BUCKNELL WAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129
Practice Address - Country:US
Practice Address - Phone:303-910-5770
Practice Address - Fax:303-395-0826
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO125840163WR0006X
COCO-125840163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant