Provider Demographics
NPI:1578035705
Name:HENDRY, BILLIE ENGLER (RN)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:ENGLER
Last Name:HENDRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:LEANN
Other - Last Name:HENDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7178 FOUR RIVERS ROAD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301
Mailing Address - Country:US
Mailing Address - Phone:303-530-0251
Mailing Address - Fax:
Practice Address - Street 1:7178 FOUR RIVERS ROAD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:303-530-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-28
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0184010163W00000X
COCO0184010163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse