Healthcare Provider Details

I. General information

NPI: 1982804837
Provider Name (Legal Business Name): ERICA R DRENNEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 CROWN CREST BLVD STE 200
PARKER CO
80138-8991
US

IV. Provider business mailing address

9403 CROWN CREST BLVD STE 200
PARKER CO
80138-8991
US

V. Phone/Fax

Practice location:
  • Phone: 720-721-1670
  • Fax: 720-721-8117
Mailing address:
  • Phone: 720-721-1670
  • Fax: 720-721-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number50069
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: