Pivonka, Barbara A

Pivonka, Barbara A is an individual health care provider with primary practice located at 1115 2Nd St , Fort Lupton CO 80621-1745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pivonka, Barbara A can be contacted via phone (303) 857-2771.

Contact Information

Primary practice address
1115 2Nd St Fort Lupton CO 80621-1745
Fax: (720) 322-9434
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0002434-NP Colorado

Profile Details

NPI number 1942204698
LBN Legal business name Pivonka, Barbara A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jun 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942204698 NPPES
Colorado MEDICAID 07882874

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