Provider Demographics
NPI:1932140415
Name:LOWERY, DENISE M (WHNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:LOWERY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 MCINTYRE ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-7445
Mailing Address - Country:US
Mailing Address - Phone:303-525-7250
Mailing Address - Fax:303-531-5088
Practice Address - Street 1:2040 HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5556
Practice Address - Country:US
Practice Address - Phone:303-388-4091
Practice Address - Fax:303-377-0967
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO62248363L00000X
MTRN28243363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62248OtherCOLORADO
CO24424021Medicaid
MTRN28243OtherMONTANA STATE LICENSE
MTRN28243OtherMONTANA STATE LICENSE
COC373838Medicare PIN
COP03708Medicare UPIN
CO24424021Medicaid