Healthcare Provider Details

I. General information

NPI: 1316354095
Provider Name (Legal Business Name): BELLA NATURAL WOMENS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E HAMPDEN AVE SUITE 100
ENGLEWOOD CO
80113-2547
US

IV. Provider business mailing address

180 E HAMPDEN AVE STE 100
ENGLEWOOD CO
80113-2517
US

V. Phone/Fax

Practice location:
  • Phone: 303-789-3968
  • Fax: 303-798-3018
Mailing address:
  • Phone: 303-789-4968
  • Fax: 303-798-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE CHISM
Title or Position: EXECUTIVE DIRECTOR
Credential: PNNP
Phone: 303-789-3968