Healthcare Provider Details

I. General information

NPI: 1346691516
Provider Name (Legal Business Name): APRIL CHAFFEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16550 PRAIRIE VISTA LN
PEYTON CO
80831-8646
US

IV. Provider business mailing address

16550 PRAIRIE VISTA LN
PEYTON CO
80831-8646
US

V. Phone/Fax

Practice location:
  • Phone: 719-209-3188
  • Fax: 719-749-2811
Mailing address:
  • Phone: 719-209-3188
  • Fax: 719-749-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number81-3073162
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: