Basic Information
Provider Information
NPI: 1346345592
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALINSKY
FirstName: DENISE
MiddleName: HAWKINS
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16222 WEST HIGHWAY 24
Address2: SUITE 210
City: WOODLAND PARK
State: CO
PostalCode: 808638763
CountryCode: US
TelephoneNumber: 7193642800
FaxNumber: 7193642801
Practice Location
Address1: 16222 WEST HIGHWAY 24
Address2: SUITE 210
City: WOODLAND PARK
State: CO
PostalCode: 80863
CountryCode: US
TelephoneNumber: 7193642800
FaxNumber: 7193642801
Other Information
ProviderEnumerationDate: 09/13/2006
LastUpdateDate: 12/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X2006-0107NMN Other Service ProvidersSpecialist 
207VG0400XDR.0056503COY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


Home