Archuleta, Wendy Rene

Archuleta, Wendy Rene is an individual health care provider with primary practice located at 12230 Lioness Way , Parker CO 80134-5603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Archuleta, Wendy Rene can be contacted via phone (720) 644-9355.

Contact Information

Primary practice address
12230 Lioness Way Parker CO 80134-5603
Phone: (720) 644-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN 0991469-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 0991469-NP Colorado

Profile Details

NPI number 1538564810
LBN Legal business name Archuleta, Wendy Rene
Credentials FNP, AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Aug 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538564810 NPPES
Colorado MEDICAID 82025002

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