Healthcare Provider Details

I. General information

NPI: 1992495063
Provider Name (Legal Business Name): ASHLEY VERHYEN LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 CHAMPA ST
DENVER CO
80205-2531
US

IV. Provider business mailing address

1985 S CHERRY ST # 4-112
DENVER CO
80222-4616
US

V. Phone/Fax

Practice location:
  • Phone: 720-398-9666
  • Fax:
Mailing address:
  • Phone: 970-821-6950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number325378
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: