ALDER GROVE WELLNESS GROUP LLC NPI 1497171771

NPI Information

NPI: 1497171771
Provider Name: ALDER GROVE WELLNESS GROUP, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
90 MADISON ST
SUITE 400
DENVER, CO
ZIP 80206
Phone: (720) 331-6899
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ALDER GROVE WELLNESS GROUP, LLC is a psychiatric/mental health nurse practitioner in Denver, CO. ALDER GROVE WELLNESS GROUP, LLC NPI is 1497171771. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

90 MADISON ST
SUITE 400
DENVER, CO
ZIP 80206-418
Phone: (720) 331-6899
Fax: (720) 889-9496

The provider's authorized official is Holly Vause .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (720) 331-6899.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 3/11/2014.

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	1041C0700X	Social Worker	Clinical	00001020	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	164461	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	58008314	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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