Healthcare Provider Details

I. General information

NPI: 1386654713
Provider Name (Legal Business Name): DENISE HERNANDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 VANCE ST # 201
WHEAT RIDGE CO
80033-6298
US

IV. Provider business mailing address

3760 VANCE ST # 201
WHEAT RIDGE CO
80033-6298
US

V. Phone/Fax

Practice location:
  • Phone: 303-902-2680
  • Fax:
Mailing address:
  • Phone: 303-902-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberDR-43822
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0094173
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: