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Contact Information

MOUNTAIN WELLNESS PLLC
6767 S VINE ST STE 1059
CENTENNIAL, CO80122-3171
 Phone: 719-789-4515
 Fax: 704-498-4954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MOUNTAIN WELLNESS PLLC · (Female)

NPI Number 1184497638
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2023
Last updated 09/08/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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