Individual
MS. DEIRDRE BRETT FRALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP-C, PMHNP-BC
Contact information
Practice address
430 INDIANA STREET SUITE 100, GOLDEN, CO 80401-2605
(303) 736-9697
(720) 306-5464
Mailing address
430 INDIANA STREET SUITE 100, GOLDEN, CO 80401-2605
(303) 736-9697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0992458-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102077-NP
COLORADO RXN (FULL PRESCRIPTIVE AUTHORITY)
CO
01
—
0992458-NP
COLORADO APN
CO
01
—
1640875
COLORADO RN
CO
05
—
20770057
—
CO
01
—
84-0832336
KAISER COMMERCIAL
—
05
—
9000162792
—
CO
Enumeration date
06/28/2012
Last updated
05/16/2023
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