Individual
BRITTANY M HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, RN, BSN
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
825 W 97TH AVE, NORTHGLENN, CO 80260-5603
(360) 929-0301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1646941
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0997958-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646941
REGISTERED NURSE LICENSE NUMBER
CO
01
—
APN.0997958-NP
ADVANCED PRACTICE NURSE PRACTITIONER LICENSE NUMBER
CO
Enumeration date
04/11/2022
Last updated
08/30/2022
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