National Provider Identifier Database

MONTROSE PSYCHIATRIC NURSE PRACTITIONERS
Psychiatric/Mental Health


Contact Information

MONTROSE PSYCHIATRIC NURSE PRACTITIONERS
5 HILLCREST PLAZA WAY
MONTROSE, CO81401-5876
Phone: 970-964-8653
Fax: 970-249-8495
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Family 363LF0000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for MONTROSE PSYCHIATRIC NURSE PRACTITIONERS

NPI Number 1912642588
Legal business name
LBN
MONTROSE PSYCHIATRIC NURSE PRACTITIONERS
Authorized official LISA BOFFA - (PSYCHIATRIC NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 04/28/2022
Last updated 05/22/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 1942508635

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.

Reviews for MONTROSE PSYCHIATRIC NURSE PRACTITIONERS

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