Organization · NPI-2

Advanced Psychiatric Health, LLC

Nurse Practitioner, Family · Colorado Springs, CO

NPI number1285990937
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1285990937
Entity type
Organization (NPI-2)
Legal business name
Advanced Psychiatric Health, LLC
Organization subpart
No
Enumeration date
Apr 6, 2012
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family6013COYes

Practice location

2790 N Academy Blvd
Suite 312
Colorado Springs, CO 80917-5337

Phone 719-444-0250 · Fax 719-444-0253

Mailing address

2790 N Academy Blvd
Suite 312
Colorado Springs, CO 80917-5337

Phone 719-444-0250 · Fax 719-444-0253

Authorized official

Fredi Shae Prochoda
Owner, Provider
7194440250

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