Healthcare Provider Details

I. General information

NPI: 1013885656
Provider Name (Legal Business Name): RENAE PATNOE SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENAE PATNOE SUPPI

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WHEELING ST
AURORA CO
80045-7211
US

IV. Provider business mailing address

7142 EDGEWOOD DR
HIGHLANDS RANCH CO
80130-5137
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax:
Mailing address:
  • Phone: 303-889-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number186684
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: