Provider Demographics
NPI:1417847104
Name:FERRER, IAN
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:
Last Name:FERRER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S POTOMAC ST STE 135
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5442
Mailing Address - Country:US
Mailing Address - Phone:303-369-7752
Mailing Address - Fax:303-369-7907
Practice Address - Street 1:1550 S POTOMAC ST STE 135
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5442
Practice Address - Country:US
Practice Address - Phone:303-369-7752
Practice Address - Fax:303-369-7907
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO058557146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic