LIVING WELL HEALTH CARE LLC NPI 1134512833

NPI Information

NPI: 1134512833
Provider Name: LIVING WELL HEALTH CARE, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
90 MADISON ST
SUITE 305
DENVER, CO
ZIP 80206
Phone: (303) 481-3451
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LIVING WELL HEALTH CARE, LLC is a psychiatric/mental health nurse practitioner in Denver, CO. LIVING WELL HEALTH CARE, LLC NPI is 1134512833. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

90 MADISON ST
SUITE 305
DENVER, CO
ZIP 80206-418
Phone: (303) 481-3451
Fax: (720) 889-9496

The provider's authorized official is Kristiana Avery .
The authorized official title is Owner, Nurse Practitioner and has the following contact phone number (303) 481-3451.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP990096	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23838736	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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