Healthcare Provider Details

I. General information

NPI: 1689957607
Provider Name (Legal Business Name): BRIDGETTE NIPAA YEBOAH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGETTE NIPAA YEBOAH YEBAOH-SPAUN

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST
DENVER CO
80218-3666
US

IV. Provider business mailing address

131 EMERALD ST
WRENTHAM MA
02093-1902
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2500
  • Fax: 303-318-2575
Mailing address:
  • Phone: 508-384-5567
  • Fax: 508-384-8938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1626757
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0991261-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: