Healthcare Provider Details

I. General information

NPI: 1023084217
Provider Name (Legal Business Name): PAULA F DENNEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 UNION BLVD SUITE 110
LAKEWOOD CO
80228-1813
US

IV. Provider business mailing address

274 UNION BLVD SUITE 110
LAKEWOOD CO
80228-1813
US

V. Phone/Fax

Practice location:
  • Phone: 303-951-0600
  • Fax: 303-951-0605
Mailing address:
  • Phone: 303-951-0600
  • Fax: 303-951-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number39677
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number39677
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39677
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: