Basic Information
| Provider Information | |||||||||
| NPI: | 1265874929 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DURNEN | ||||||||
| FirstName: | JANELL | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | MSN, APN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11750 W 2ND PL | ||||||||
| Address2: | SUITE 255 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203218040 | ||||||||
| FaxNumber: | 7203218041 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 16TH ST | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806315114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703502454 | ||||||||
| FaxNumber: | 9703502447 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2013 | ||||||||
| LastUpdateDate: | 02/20/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0990792-NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | COB5052 | 05 | CO | MEDICAID |