Provider Demographics
NPI:1740614585
Name:SASSEN, BRENDA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:SASSEN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5281 E 128TH WAY
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2354
Mailing Address - Country:US
Mailing Address - Phone:720-935-5833
Mailing Address - Fax:
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT D100
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5117
Practice Address - Country:US
Practice Address - Phone:303-205-1090
Practice Address - Fax:303-205-5534
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO990262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30920761Medicaid