Healthcare Provider Details

I. General information

NPI: 1093684789
Provider Name (Legal Business Name): TRISTEN M DINKEL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2025
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 E EVANS AVE STE 102
DENVER CO
80224-2300
US

IV. Provider business mailing address

220 S WILCOX ST # 444
CASTLE ROCK CO
80104-9997
US

V. Phone/Fax

Practice location:
  • Phone: 303-691-5009
  • Fax: 303-691-8897
Mailing address:
  • Phone: 309-221-3437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001341-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: