Healthcare Provider Details

I. General information

NPI: 1346190451
Provider Name (Legal Business Name): IRENE YUSTE-HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4599 BOONE CIR
BRIGHTON CO
80601-4234
US

IV. Provider business mailing address

4599 BOONE CIR
BRIGHTON CO
80601-4234
US

V. Phone/Fax

Practice location:
  • Phone: 303-912-7672
  • Fax:
Mailing address:
  • Phone: 303-912-7672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1001841-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: