Provider Demographics
NPI:1811581598
Name:VITOU, BRENNA RANELLE (MSN, APRN-CNP)
Entity Type:Individual
Prefix:
First Name:BRENNA
Middle Name:RANELLE
Last Name:VITOU
Suffix:
Gender:F
Credentials:MSN, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 STUART ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2163
Mailing Address - Country:US
Mailing Address - Phone:440-665-6527
Mailing Address - Fax:
Practice Address - Street 1:609 W LITTLETON BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2368
Practice Address - Country:US
Practice Address - Phone:303-730-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0996251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0996251OtherFNP/COLORADO DEPARTMENT OF REGULATORY AGENCIES/COLORADO BOARD OF NURSING
F01210452OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD (AANPCB)
RXN.0105354OtherRXN/ COLORADO DEPARTMENT OF REGULATORY AGENCIES/ COLORADO BOARD OF NURSING