Provider Demographics
NPI:1497077929
Name:FUMIA, JAMES BRIAN (RN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:FUMIA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 W 72ND PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4275
Mailing Address - Country:US
Mailing Address - Phone:720-218-6481
Mailing Address - Fax:
Practice Address - Street 1:8210 W. 72ND PLACE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4275
Practice Address - Country:US
Practice Address - Phone:720-218-6481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse