Provider Demographics
NPI:1962236190
Name:BUCKENDORF, WHITNEY SCOTT
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SCOTT
Last Name:BUCKENDORF
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 1:2550 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5710
Mailing Address - Country:US
Mailing Address - Phone:970-397-8440
Mailing Address - Fax:
Practice Address - Street 1:2550 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5710
Practice Address - Country:US
Practice Address - Phone:970-397-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula