Healthcare Provider Details

I. General information

NPI: 1003183260
Provider Name (Legal Business Name): ERIN LIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 S YOSEMITE ST 6TH FLOOR
GREENWOOD VILLAGE CO
80111-5139
US

IV. Provider business mailing address

935 TRENTON ST
DENVER CO
80230-6419
US

V. Phone/Fax

Practice location:
  • Phone: 720-383-5134
  • Fax: 855-893-5357
Mailing address:
  • Phone: 412-889-8677
  • Fax: 855-893-5357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberSP011773
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011773
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0990929
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: