Provider Demographics
NPI:1225283625
Name:DENNIS, BEVERLY J (RN)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:DENNIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 YOSEMITE ST
Mailing Address - Street 2:LOWRY CLINIC UNIT 26 MAILCODE 1701
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6074
Mailing Address - Country:US
Mailing Address - Phone:720-956-2068
Mailing Address - Fax:
Practice Address - Street 1:1001 YOSEMITE ST
Practice Address - Street 2:LOWRY CLINIC UNIT 26 MAILCODE 1701
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6074
Practice Address - Country:US
Practice Address - Phone:720-956-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49527163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse