Provider Demographics
NPI:1053603357
Name:BAERREN, WENDY SUZANNE (RNC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SUZANNE
Last Name:BAERREN
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:SUZANNE
Other - Last Name:BEAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP
Mailing Address - Street 1:7284 W WALKER PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3029
Mailing Address - Country:US
Mailing Address - Phone:303-919-3124
Mailing Address - Fax:
Practice Address - Street 1:6001 E WOODMEN RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2601
Practice Address - Country:US
Practice Address - Phone:719-571-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO164391163WN0002X
COAPN.0990165-NP363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care