Individual
MICHELLE DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC; FNP-BC
Contact information
Practice address
3676 PARKER BLVD STE 290, PUEBLO, CO 81008-2214
(719) 553-2201
Mailing address
689 E LONGSDALE DR, PUEBLO WEST, CO 81007-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.1001674-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
02/26/2026
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