Healthcare Provider Details

I. General information

NPI: 1659798817
Provider Name (Legal Business Name): CATHERINE CLAYTON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE BENAVIDEZ N.P.

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5075 LINCOLN ST
DENVER CO
80216-2015
US

IV. Provider business mailing address

16923 W 66TH LN
ARVADA CO
80007-6801
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-5302
  • Fax:
Mailing address:
  • Phone: 303-403-0515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0001761
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: