| NPI | 1821622176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE FLEUR SANDOVAL Clinical Provider 720-900-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LA0401X Anesthesiology Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 251J00000X Nursing Care | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR1100X Clinic/Center Research | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |