| NPI | 1336806413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY S PETERSON Pmhnp Bc 303-222-7937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-08-01 |