Larson, Brenda Lee
Larson, Brenda Lee is an individual health care provider with primary practice located at 15132 E Hampden Ave Ste G , Aurora CO 80014-5038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larson, Brenda Lee can be contacted via phone (303) 360-6276.Contact Information
Primary practice address
15132 E Hampden Ave Ste G
Aurora CO 80014-5038
Phone: (303) 360-6276
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 105593 | Colorado |
Profile Details
NPI number | 1588636120 |
---|---|
LBN Legal business name | Larson, Brenda Lee |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Feb 8th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588636120 | NPPES |
Colorado | MEDICAID | 83280839 | |
Colorado | Other | CO306791 |
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