Provider Demographics
NPI:1588842165
Name:WARNER, BRITT ERIKA (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:ERIKA
Last Name:WARNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 MOUNTAIN VIEW AVE
Mailing Address - Street 2:STE 540
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3183
Mailing Address - Country:US
Mailing Address - Phone:303-651-5302
Mailing Address - Fax:303-651-5303
Practice Address - Street 1:2030 MOUNTAIN VIEW AVE STE 250
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3273
Practice Address - Country:US
Practice Address - Phone:303-651-5302
Practice Address - Fax:303-651-5303
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2552363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant