Individual
DENA SUE SHEPPARD-MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 10TH ST, BERTHOUD, CO 80513-1381
(970) 532-4910
(970) 532-2850
Mailing address
401 10TH ST, BERTHOUD, CO 80513-1381
(970) 532-4910
(970) 532-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289693
—
CO
01
—
84132889801
ROCKY MOUNTAIN HEALTH PLA
—
01
—
84132889806
PACIFICARE
—
01
—
84132889807
SECURE HORIZONS
—
Enumeration date
05/08/2006
Last updated
05/16/2014
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