Healthcare Provider Details

I. General information

NPI: 1710381280
Provider Name (Legal Business Name): CHRISTINE FERRIS PATEL N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 932958
CLEVELAND OH
44193-0028
US

IV. Provider business mailing address

PO BOX 932958
CLEVELAND OH
44193-0028
US

V. Phone/Fax

Practice location:
  • Phone: 303-459-5639
  • Fax:
Mailing address:
  • Phone: 303-459-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN-0991392
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.0991392-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: