ONE MIND AND BODY PSYCHIATRY NPI 1053110197

NPI Information

  • NPI: 1053110197
  • Provider Name: ONE MIND AND BODY PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 414 N BROADWAY
    DENVER, CO
    ZIP 80203
  • Phone: (720) 613-9414

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NPI Details

ONE MIND AND BODY PSYCHIATRY is a psychiatric/mental health nurse practitioner in Denver, CO. ONE MIND AND BODY PSYCHIATRY NPI is 1053110197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 N BROADWAY
DENVER, CO
ZIP 80203-490
Phone: (720) 613-9414

The provider's authorized official is Breana Loren Walton .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (303) 356-9576.

The enumeration date for this NPI number is 3/11/2025 and was last updated on 3/11/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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