NPI 1457170557

Wendemagen Theodore Bennett

Practitioner Nursing Home Administrator Aurora, CO

Practice location

Address: 2821 S Parker Rd STE 2-1017, Aurora, CO 80014-2735
Phone: (616) 644-8235

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 04UCCC (CO)

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Registry record

NPI: 1457170557
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2024
Record last updated: 9 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.