NPI | 1336871896 |
---|---|
Doing Business As | WOLF PACK MIND & BODY |
Entity Type | Organization |
Authorized Contact | BRITTANY M NIELSEN Owner/Provider 720-691-3158 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-06-24 |
Last Update Date | 2024-08-02 |