Prochoda, Fredi Shae
Prochoda, Fredi Shae is an sole proprietor health care provider with primary practice located at 6950 E Belleview Ave Ste 300 , Greenwood Village CO 80111-1629. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Prochoda, Fredi Shae can be contacted via phone (303) 468-8018.Contact Information
Primary practice address
6950 E Belleview Ave Ste 300
Greenwood Village CO 80111-1629
Phone: (303) 468-8018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 177837 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RXP-100158 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6013 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP-6013 | Colorado |
Profile Details
| NPI number | 1023331477 |
|---|---|
| LBN Legal business name | Prochoda, Fredi Shae |
| Credentials | DNP,MSN, FNP, FPMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2010 |
| Last updated | Oct 4th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023331477 | NPPES |
| Colorado | Other | 21102384 | MEDICAID GROUP NUMBER |
| Colorado | MEDICAID | 38303787 | MEDICAID GROUP NUMBER |
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