Healthcare Provider Details

I. General information

NPI: 1346920832
Provider Name (Legal Business Name): BETSY RENE MENDENHALL WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
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: 303-721-8117
Mailing address:
  • Phone: 720-721-1670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN.0998994-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0998994-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: