LIFESPAN PSYCHIATRY OF COLORADO NPI 1497360838

NPI Information

NPI: 1497360838
Provider Name: LIFESPAN PSYCHIATRY OF COLORADO
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 06D2205386

Address:
1006 N 5TH ST
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 579-0003
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LIFESPAN PSYCHIATRY OF COLORADO is a psychiatric/mental health nurse practitioner in Grand Junction, CO. LIFESPAN PSYCHIATRY OF COLORADO NPI is 1497360838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1006 N 5TH ST
GRAND JUNCTION, CO
ZIP 81501-561
Phone: (970) 579-0003
Fax: (970) 433-7671

The provider's authorized official is Carrie Shahbahrami .
The authorized official title is Owner and has the following contact phone number (970) 579-0003.

The CLIA number assigned to this NPI record is 06D2205386 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2020 and was last updated on 9/17/2022.

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	364S00000X	Clinical Nurse Specialist				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 4/28/2024

NPI Synchronization or Removal

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