Provider Demographics
NPI:1700104379
Name:CME4HEALTH WOMENS CARE LLC
Entity type:Organization
Organization Name:CME4HEALTH WOMENS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-695-7873
Mailing Address - Street 1:2463 S OAKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1887
Mailing Address - Country:US
Mailing Address - Phone:303-695-7873
Mailing Address - Fax:303-745-6925
Practice Address - Street 1:3600 E ALAMEDA AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3189
Practice Address - Country:US
Practice Address - Phone:303-695-7873
Practice Address - Fax:303-745-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47375363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty