Provider Demographics
NPI:1528485778
Name:RIDDER-REINIG, BARBARA RUTH (ANP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:RUTH
Last Name:RIDDER-REINIG
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:RUTH
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:130 RAMPART WAY
Mailing Address - Street 2:SUITE 300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:8800 FOX DRIVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260
Practice Address - Country:US
Practice Address - Phone:720-536-2460
Practice Address - Fax:720-536-2466
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2013005544363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2013005544OtherNP CERT #