Provider Demographics
NPI:1508982711
Name:PLATTEN, WENDY SUE
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SUE
Last Name:PLATTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-781-9090
Mailing Address - Fax:303-781-8710
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-781-9090
Practice Address - Fax:303-781-8710
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO972363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA101257Medicare PIN