Provider Demographics
NPI:1588736516
Name:GUEVEL, WENDY SUZANNE (NP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SUZANNE
Last Name:GUEVEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:SUZANNE
Other - Last Name:HOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, FNP-C
Mailing Address - Street 1:PO BOX 801106
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1106
Mailing Address - Country:US
Mailing Address - Phone:800-953-0104
Mailing Address - Fax:303-765-6670
Practice Address - Street 1:9403 CROWN CREST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-9048
Practice Address - Country:US
Practice Address - Phone:303-269-4410
Practice Address - Fax:303-269-4411
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0004447-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26189704Medicaid
CO810790Medicare UPIN
CO810790Medicare PIN
CO26189704Medicaid