Provider Demographics
NPI:1265176358
Name:DENVER NEPHROLOGISTS, PC
Entity type:Organization
Organization Name:DENVER NEPHROLOGISTS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-343-1550
Mailing Address - Street 1:1 PARKWAY NORTH BLVD STE 200S
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2532
Mailing Address - Country:US
Mailing Address - Phone:847-388-2064
Mailing Address - Fax:
Practice Address - Street 1:13901 E EXPOSITION AVE STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2536
Practice Address - Country:US
Practice Address - Phone:303-343-4244
Practice Address - Fax:303-343-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical