Provider Demographics
NPI:1578199840
Name:BRENKENDORFF, TEENA ELAINE (RRA, RPA)
Entity Type:Individual
Prefix:MRS
First Name:TEENA
Middle Name:ELAINE
Last Name:BRENKENDORFF
Suffix:
Gender:F
Credentials:RRA, RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 E GEDDES AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3861
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:
Practice Address - Street 1:125 INVERNESS DR E STE 140
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5138
Practice Address - Country:US
Practice Address - Phone:303-662-1674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant