Provider Demographics
NPI:1326177593
Name:BRESEE, WENDY L (RXN)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:L
Last Name:BRESEE
Suffix:
Gender:F
Credentials:RXN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 E GIRARD AVE
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:720-870-6330
Mailing Address - Fax:720-870-3969
Practice Address - Street 1:15200 E GIRARD AVE
Practice Address - Street 2:SUITE 3500
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:720-870-6330
Practice Address - Fax:720-870-3969
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN04032364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist