Provider Demographics
NPI:1689013377
Name:FELSON, CATHERINE ENCINIAS (FNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ENCINIAS
Last Name:FELSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ESTRADA
Other - Last Name:ENCINIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3111 W 127TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5811
Mailing Address - Country:US
Mailing Address - Phone:602-690-6441
Mailing Address - Fax:866-528-9425
Practice Address - Street 1:3111 W 127TH AVE
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-5811
Practice Address - Country:US
Practice Address - Phone:602-690-6441
Practice Address - Fax:866-528-9425
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN0113275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily