MEDICARE: DR. ANGELA NICOLE HENSLEY DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ANP.1001092-NP	CO

General Provider Information

NPI Number	:	1689550675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA NICOLE HENSLEY DNP

Provider Business Mailing Address
First Line	:	2500 ROCKY MOUNTAIN AVE STE 300
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-619-6100
Fax Number	:	970-619-6190

Provider Business Practice Location Address
First Line	:	2500 ROCKY MOUNTAIN AVE STE 300
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-619-6100
Fax Number	:	970-619-6190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	04/21/2026

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