Provider Demographics
NPI:1912542861
Name:EGBERS, BENJAMIN BYRON (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:BYRON
Last Name:EGBERS
Suffix:
Gender:
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6081 S QUEBEC ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4537
Mailing Address - Country:US
Mailing Address - Phone:720-222-0550
Mailing Address - Fax:720-496-4948
Practice Address - Street 1:6081 S QUEBEC ST STE 100
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-4537
Practice Address - Country:US
Practice Address - Phone:720-222-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0103097-C-NP363LP0808X
MTNUR-APRN-LIC-175672363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health