Provider Demographics
NPI:1548599376
Name:DENEAU, DAVID LEROY
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEROY
Last Name:DENEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 S VAUGHN WAY
Mailing Address - Street 2:#135
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3511
Mailing Address - Country:US
Mailing Address - Phone:720-242-5285
Mailing Address - Fax:720-874-9608
Practice Address - Street 1:3131 S VAUGHN WAY
Practice Address - Street 2:#135
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3511
Practice Address - Country:US
Practice Address - Phone:720-242-5285
Practice Address - Fax:720-874-9608
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider