Healthcare Provider Details

I. General information

NPI: 1093515132
Provider Name (Legal Business Name): ERIN KEITH FAHRES BSN RN OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WHEELING ST
AURORA CO
80045-7211
US

IV. Provider business mailing address

2630 CHERRY ST
DENVER CO
80207-3039
US

V. Phone/Fax

Practice location:
  • Phone: 303-304-1028
  • Fax:
Mailing address:
  • Phone: 303-304-1028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number1627371
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: