Provider Demographics
NPI:1326267980
Name:FERRIS, BARBARA J (NP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:FERRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16258 E NASSAU DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2726
Mailing Address - Country:US
Mailing Address - Phone:303-693-9207
Mailing Address - Fax:
Practice Address - Street 1:701 E HAMPDEN AVE STE 120
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-788-5483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68722363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26603233Medicaid
COC480358Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CO26603233Medicaid