Healthcare Provider Details

I. General information

NPI: 1437882701
Provider Name (Legal Business Name): BRANDON TODD EHRHART MSN, CRNP, ACNPC-AG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROCKY MOUNTAIN AVE STE 360
LOVELAND CO
80538-9004
US

IV. Provider business mailing address

2500 ROCKY MOUNTAIN AVE STE 360
LOVELAND CO
80538-9004
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-1000
  • Fax: 970-624-1892
Mailing address:
  • Phone: 970-221-1000
  • Fax: 970-624-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP025866
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberC-APN.0106563-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: