=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396428314
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICE HERRERA ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2023
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 BROADWAY
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80202-4927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-865-2561
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1182 NW VILLETTA LN
-----------------------------------------------------
City | WAUKEE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50263-6624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-399-3142
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | G175743
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | C-APN.0103155-C-NP
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------