Individual provider · NPI-1

Dr. Bethany Anne Tynes Blankenship, MD

Hospitalist · Englewood, CO

NPI number1538573290
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1538573290
Entity type
Individual (NPI-1)
Name
Dr. Bethany Anne Tynes Blankenship
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2014
Certification date
Jun 16, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistDR.0058291COYes
390200000X Student in an Organized Health Care Education/Training ProgramTL.0005354CO

Other names

  • Bethany Anne Tynes (Former Name)

Practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Phone 303-338-4545

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

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