Healthcare Provider Details

I. General information

NPI: 1750452207
Provider Name (Legal Business Name): DENA LEE RIDENOUR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3346 ASH MESA RD
DELTA CO
81416-8766
US

IV. Provider business mailing address

3346 ASH MESA RD
DELTA CO
81416-8766
US

V. Phone/Fax

Practice location:
  • Phone: 970-874-7749
  • Fax:
Mailing address:
  • Phone: 970-874-7749
  • Fax: 866-799-7523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number0101420
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number2356
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number116612
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: