Provider Demographics
NPI:1568941367
Name:FLEMING, PATRICK B (RNFA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:B
Last Name:FLEMING
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 ALMAGRE PEAK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3659
Mailing Address - Country:US
Mailing Address - Phone:719-481-3028
Mailing Address - Fax:
Practice Address - Street 1:1470 ALMAGRE PEAK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3659
Practice Address - Country:US
Practice Address - Phone:719-481-3028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0129559163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant