Provider Demographics
NPI:1982804837
Name:DRENNEN, ERICA R (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:R
Last Name:DRENNEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9403 CROWN CREST BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8991
Mailing Address - Country:US
Mailing Address - Phone:720-721-1670
Mailing Address - Fax:720-721-8117
Practice Address - Street 1:9403 CROWN CREST BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8991
Practice Address - Country:US
Practice Address - Phone:720-721-1670
Practice Address - Fax:720-721-8117
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO50069207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO33584281Medicaid