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Organization
CULTIVATE MENTAL HEALTH PC
Active
Organization
CULTIVATE MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA S TANNER (NP)
(720) 415-0101
Entity
Organization
Contact information
Practice address
80 GARDEN CTR STE 138, BROOMFIELD, CO 80020-1790
(720) 415-0101
(833) 967-2490
Mailing address
80 GARDEN CTR STE 138, BROOMFIELD, CO 80020-1790
(720) 415-0101
(833) 967-2490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
06/15/2026
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