Provider Demographics
NPI:1124546734
Name:BEYERS, GLENDA IRENE (RN)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:IRENE
Last Name:BEYERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GLENDA
Other - Middle Name:IRENE
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10187 WACO ST.
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022
Mailing Address - Country:US
Mailing Address - Phone:303-248-3288
Mailing Address - Fax:
Practice Address - Street 1:8300 W. 38TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-425-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-03
Last Update Date:2017-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0170468163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient