Healthcare Provider Details

I. General information

NPI: 1649318700
Provider Name (Legal Business Name): PATRICIA AGNES DENVER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

14383 E WARREN PL
AURORA CO
80014-1419
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax: 303-393-2829
Mailing address:
  • Phone: 303-752-0652
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number58395
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: