Provider Demographics
NPI:1336741511
Name:BENNETT, DANIELLE CAROL (PMHNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:CAROL
Last Name:BENNETT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 W 105TH AVE # 1362
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2202
Mailing Address - Country:US
Mailing Address - Phone:720-440-2655
Mailing Address - Fax:
Practice Address - Street 1:3455 RINGSBY CT STE 140
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-5050
Practice Address - Country:US
Practice Address - Phone:720-460-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1646089163WP0808X
CORXN.0106126-NP363LP0808X
COAPN.0997071-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health