Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 26653 | CO |
NPI | 1003881640 |
---|---|
Provider Name | Dr. Wendy K Herhahn |
First Address | Englewood, CO 80110-2336 |
Second Address | Englewood, CO 80110-2336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 24/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01266535 | (05) | CO |
E58747 | (02) | CO |