MS. ELLIS MARIE RICH MACE PMHNP NPI 1811338528

NPI Information

NPI: 1811338528
Provider Name: MS. ELLIS MARIE RICH MACE, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1333 IRIS AVE
BOULDER, CO
ZIP 80304
Phone: (303) 443-8500
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MS. Ellis Marie Rich Mace, PMHNP is a psychiatric/mental health nurse practitioner in Boulder, CO with 3 years of experience. MS. Ellis Marie Rich Mace, PMHNP NPI is 1811338528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1333 IRIS AVE
BOULDER, CO
ZIP 80304-226
Phone: (303) 443-8500

The NPI 1811338528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 2/7/2024.

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	163WS0200X	Registered Nurse	School	0000179149	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2365088	MASSACHUSETTS	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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