MERISTEM MENTAL WELLNESS NPI 1619761301

NPI Information

  • NPI: 1619761301
  • Provider Name: MERISTEM MENTAL WELLNESS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2770 ARAPAHOE RD STE 701
    LAFAYETTE, CO
    ZIP 80026
  • Phone: (303) 618-1273

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NPI Details

MERISTEM MENTAL WELLNESS is a psychiatric/mental health nurse practitioner in Lafayette, CO. MERISTEM MENTAL WELLNESS NPI is 1619761301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2770 ARAPAHOE RD STE 701
LAFAYETTE, CO
ZIP 80026-018
Phone: (303) 618-1273

The provider's authorized official is Laura Cannon .
The authorized official title is Nurse Practitioner and has the following contact phone number (303) 618-1273.

The enumeration date for this NPI number is 4/7/2025 and was last updated on 4/7/2025.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19000176525MEDICAIDCOLORADO

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: 3/30/2025

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