Provider Demographics
NPI:1639640550
Name:LINGENFIELD, ERICA BREANNE (RN)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:BREANNE
Last Name:LINGENFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4034
Mailing Address - Fax:970-490-4347
Practice Address - Street 1:1400 E BOULDER ST STE 2508
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:193-656-9997
Practice Address - Fax:719-365-2837
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN637357163W00000X
PA125015367500000X
COAPN.0995473367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse