Individual provider · NPI-1
Rodric D Falcon, NP
Nurse Practitioner, Psych/Mental Health · Englewood, CO
NPI number1063785350
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1063785350
- Entity type
- Individual (NPI-1)
- Name
- Rodric D Falcon
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2012
- Last updated
- Apr 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 0990268 | CO | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN0172889 | CO |
Practice location
8835 American WayEnglewood, CO 80112-7056
Phone 720-643-4300
Mailing address
8565 South Poplar WayLittleton, CO 80130-5861
Phone 720-348-2827 · Fax 720-348-2803
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