Provider Demographics
NPI:1891383402
Name:VADNEY, ERIC (RN)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:VADNEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8502 S MILLER CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5098
Mailing Address - Country:US
Mailing Address - Phone:303-913-4464
Mailing Address - Fax:
Practice Address - Street 1:8502 S MILLER CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5098
Practice Address - Country:US
Practice Address - Phone:303-913-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO125870163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse