Healthcare Provider Details

I. General information

NPI: 1427470590
Provider Name (Legal Business Name): ERIN ROARK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2014
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7261 S BROADWAY
LITTLETON CO
80122-8003
US

IV. Provider business mailing address

7261 S BROADWAY STE 103
LITTLETON CO
80122-8018
US

V. Phone/Fax

Practice location:
  • Phone: 303-358-5130
  • Fax: 720-510-2704
Mailing address:
  • Phone: 303-358-5130
  • Fax: 720-510-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberAPN.0990932-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0990932
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: