Healthcare Provider Details

I. General information

NPI: 1871458091
Provider Name (Legal Business Name): NANCY LYNN HENSHAW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 WARD RD
WHEAT RIDGE CO
80033-1902
US

IV. Provider business mailing address

7175 UNION ST
ARVADA CO
80004-1256
US

V. Phone/Fax

Practice location:
  • Phone: 303-467-5112
  • Fax: 303-421-6036
Mailing address:
  • Phone: 303-467-5112
  • Fax: 303-421-6036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1706890
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: