Healthcare Provider Details

I. General information

NPI: 1538315718
Provider Name (Legal Business Name): DENISE RENEE BECKMAN RN, MS, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4507
US

IV. Provider business mailing address

2074 FOOTHILLS DR S
GOLDEN CO
80401-8016
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-8100
  • Fax:
Mailing address:
  • Phone: 303-526-7538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5759
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: