NPI | 1336496926 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA MARIE GRANDI-NIKANDER Owner 303-444-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
Enumeration Date | 2012-08-14 |
Last Update Date | 2022-12-15 |