Individual
JENNIFER L HARENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1073534582
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
120047
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63001861
—
CO
Enumeration date
07/21/2006
Last updated
03/25/2021
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