Provider Demographics
NPI:1265188775
Name:FLICKINGER, BRIAN (RN, APN - PMHNP)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:FLICKINGER
Suffix:
Gender:M
Credentials:RN, APN - PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4351 E BAILS PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4401
Mailing Address - Country:US
Mailing Address - Phone:303-396-3268
Mailing Address - Fax:
Practice Address - Street 1:8565 POPLAR WAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-3602
Practice Address - Country:US
Practice Address - Phone:720-348-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1651139163WP0808X
COAPN.0997383-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health