Healthcare Provider Details

I. General information

NPI: 1386971612
Provider Name (Legal Business Name): ERIN ELIZABETH SOLOMON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN ELIZABETH SOLOMON-HEGARTY

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 20TH AVE
DENVER CO
80205-5423
US

IV. Provider business mailing address

10742 MOORE WAY
WESTMINSTER CO
80021-3629
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone: 720-255-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number44242
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN 216605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: