Healthcare Provider Details

I. General information

NPI: 1265327886
Provider Name (Legal Business Name): JOELLE GRZENDA-LAUERMANN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 W FLORIDA AVE
DENVER CO
80219-3908
US

IV. Provider business mailing address

3333 W FLORIDA AVE
DENVER CO
80219-3908
US

V. Phone/Fax

Practice location:
  • Phone: 201-660-5045
  • Fax:
Mailing address:
  • Phone: 201-660-5045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1002024-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1667884
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: