Healthcare Provider Details

I. General information

NPI: 1174428411
Provider Name (Legal Business Name): LAURA A LENIHAN RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 6TH ST
DELTA CO
81416-1626
US

IV. Provider business mailing address

255 W 6TH ST
DELTA CO
81416-1626
US

V. Phone/Fax

Practice location:
  • Phone: 970-874-2165
  • Fax: 970-874-2175
Mailing address:
  • Phone: 970-874-2165
  • Fax: 970-874-2175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0174130
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: