Provider Demographics
NPI:1013475847
Name:REIFF, ERICA GAY (NP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:GAY
Last Name:REIFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3095 WILSON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4945
Mailing Address - Country:US
Mailing Address - Phone:303-803-3268
Mailing Address - Fax:
Practice Address - Street 1:3095 WILSON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4945
Practice Address - Country:US
Practice Address - Phone:303-803-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994506-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORXN.0103828-NPOtherCO RXN
COAPN.0994506-NPOtherCO APRN