| Mr Hayden Reed Davidson, FNP | |
|
12167 Sheridan Blvd, Broomfield, CO 80020-2417 | |
| (303) 658-9807 | |
| Not Available |
| Full Name | Mr Hayden Reed Davidson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 12167 Sheridan Blvd, Broomfield, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497435648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.1636040 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0998888 (Colorado) | Primary |
| Entity Name | The Little Clinic Of Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538354568 PECOS PAC ID: 5597821280 Enrollment ID: O20090304000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hayden Reed Davidson, FNP 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: (615) 425-4200 | Mr Hayden Reed Davidson, FNP 12167 Sheridan Blvd, Broomfield, CO 80020-2417 Ph: (303) 658-9807 |
Thomas Sittig, APRN - FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 E 1st Ave Ste 102, Broomfield, CO 80020 Phone: 720-798-0170 Fax: 303-862-7102 | |
Mrs. Melanie Jane Dennis, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12537 Rivera St, Broomfield, CO 80020 Phone: 303-548-1924 | |
Ms. Mara Talin Minasian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Airport Way Ste 125, Broomfield, CO 80021 Phone: 970-310-3406 | |
Ashley Gerk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 Fax: 303-658-9808 | |
Audrey Jo Haimes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 Fax: 303-658-9828 | |
Lora Shima, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 | |
Valerie Anne Shade, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16286 Avalanche Run, Broomfield, CO 80023 Phone: 720-757-2007 |