Doctor Name: | DEBORAH L CRENNEN |
NPI Number: | 1043308778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CPNP |
License Number: | 88068 |
Business Practice Address: | 4675 E 69th Ave Commerce City, CO - 800222343 |
Business Phone Number: | 3032891086 |
Business Fax Number: | 3032897378 |
Mailing Address: | 2995 S Akron St, DENVER |
State: | CO |
Postal Code: | 802314630 |
Phone Number: | 3037522096 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 88068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |