Healthcare Provider Details

I. General information

NPI: 1356953939
Provider Name (Legal Business Name): DENISE PATTEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE BEISWENGER

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S LEMAY AVE
FORT COLLINS CO
80524-3929
US

IV. Provider business mailing address

4907 W 63RD AVE
ARVADA CO
80003-6613
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA.0022351
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: