Provider Demographics
NPI:1700029089
Name:POGGE, JOHN PATRICK (RNFA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:POGGE
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 1:20445 E LAYTON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5461
Mailing Address - Country:US
Mailing Address - Phone:303-484-1387
Mailing Address - Fax:
Practice Address - Street 1:20445 E LAYTON PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-5461
Practice Address - Country:US
Practice Address - Phone:303-484-1387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO127576163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant