NPI 1992301550 · live from the CMS NPI Registry
Alder Grove Health Services, INC
Nurse Practitioner, Psych/Mental Health in Northglenn, CO. National Provider Identifier 1992301550, active.
NPI record
| NPI | 1992301550 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 10465 Melody Dr Ste 226, Northglenn, CO 80234 |
| Practice phone | 720-331-6899 |
| Mailing address | 90 Madison St Ste 302, Denver, CO 80206 |
| Enumerated | December 9, 2020 |
| Last updated | December 9, 2020 |
| Authorized official | Holly Vause, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.