Individual
LAUREN PENNARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10900 W 44TH AVE, WHEAT RIDGE, CO 80033-2761
(303) 993-1330
Mailing address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0995576-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995576-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0995576-NP
ADVANCED PRACTICE NURSE
CO
01
—
RXN.0104771-NP
PROVISIONAL PRESCRIPTIVE AUTHORITY
CO
Enumeration date
07/01/2020
Last updated
02/14/2022
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