Holly Deffert, is a
Registered Nurse - Emergency based in Idledale, Colorado. Holly Deffert is licensed to practice in Colorado (license number 0191644) and her current practice location is
2885 Se Grapevine Rd, Idledale, Colorado. She can be reached at her office (for appointments etc.) via phone at
(720) 240-1360.
NPI number for Holly Deffert is 1134090624 and her current mailing address is 2885 Se Grapevine Rd, Idledale, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134090624.
Provider's Profile
| Full Name | Holly Deffert |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Emergency |
|---|
| Location | 2885 Se Grapevine Rd, Idledale, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134090624
- Provider Enumeration Date: 09/16/2025
- Last Update Date: 09/16/2025
Medical Identifiers
Medical identifiers for Holly Deffert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134090624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WE0003X | Registered Nurse - Emergency | 0191644 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Deffert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Holly Deffert, 2885 Se Grapevine Rd, Idledale, CO 80453-5014 Ph: (720) 240-1360 | Holly Deffert, 2885 Se Grapevine Rd, Idledale, CO 80453-5014 Ph: (720) 240-1360 |
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