Healthcare Provider Details

I. General information

NPI: 1003740002
Provider Name (Legal Business Name): JENNIFER L BARRIENTOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

276 EAGLE DR
GOLDEN CO
80403-7768
US

IV. Provider business mailing address

276 EAGLE DR
GOLDEN CO
80403-7768
US

V. Phone/Fax

Practice location:
  • Phone: 720-245-3345
  • Fax:
Mailing address:
  • Phone: 720-245-3345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number95-025-0481
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: