Healthcare Provider Details

I. General information

NPI: 1801668405
Provider Name (Legal Business Name): COLLEEN C BERENGUER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLLEEN COSLETT WALKER NP

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 CHURCH RANCH BLVD
WESTMINSTER CO
80021-4094
US

IV. Provider business mailing address

7233 CHURCH RANCH BLVD
WESTMINSTER CO
80021-4094
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4940
  • Fax:
Mailing address:
  • Phone: 303-925-4940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1000473-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28068
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: