Provider Demographics
NPI:1063943611
Name:NGOE, HORTENSE MBWENZE (FNP)
Entity type:Individual
Prefix:MRS
First Name:HORTENSE
Middle Name:MBWENZE
Last Name:NGOE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1355 S COLORADO BLVD
Mailing Address - Street 2:STE 700
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3325
Mailing Address - Country:US
Mailing Address - Phone:303-277-0700
Mailing Address - Fax:303-277-0714
Practice Address - Street 1:755 HERITAGE RD
Practice Address - Street 2:STE 100
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3600
Practice Address - Country:US
Practice Address - Phone:303-277-0700
Practice Address - Fax:303-277-0714
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995011-NP363L00000X, 363LF0000X, 363LP2300X
TXAP133665363L00000X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPENDINGMedicaid