Provider Demographics
NPI:1316285109
Name:BATURENKO, OLGA V
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:V
Last Name:BATURENKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 INDIANA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5012
Mailing Address - Country:US
Mailing Address - Phone:303-736-9697
Mailing Address - Fax:
Practice Address - Street 1:1745 SHEA CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1540
Practice Address - Country:US
Practice Address - Phone:720-547-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169635363LP0808X
COC-APN.0002988-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health