Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | DR.48748 | CO |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.48748 | CO |
NPI | 1023224177 |
---|---|
Provider Name | Nicholas Behrendt |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 21/11/2018 |