Provider Demographics
NPI:1649031048
Name:HOPPES, MARY BRIQUELLE (RN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:BRIQUELLE
Last Name:HOPPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:DESIREE
Other - Last Name:HOPPES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:11383 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6824
Mailing Address - Country:US
Mailing Address - Phone:502-593-2172
Mailing Address - Fax:
Practice Address - Street 1:1401 W 122ND AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3435
Practice Address - Country:US
Practice Address - Phone:720-296-5557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1692739163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health