Provider Demographics
NPI:1013283241
Name:FLYNN, MONICA A (APRN-NP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:A
Last Name:FLYNN
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18877 COUNTY ROAD 42
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:CO
Mailing Address - Zip Code:80720-9646
Mailing Address - Country:US
Mailing Address - Phone:308-627-5560
Mailing Address - Fax:
Practice Address - Street 1:41 MONTEBELLO RD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-1379
Practice Address - Country:US
Practice Address - Phone:719-545-2746
Practice Address - Fax:719-584-0110
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health