# KWAKE PMH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184587941
- **Authorized official:** KATHLEEN SHEEREN WAKEFIELD APN, NP, RN (PMHNP)
- **Authorized official phone:** (720) 935-0291

## Contact information

- **Practice address:** 115 WILCOX ST, ST 200, CASTLE ROCK, CO 80104
- **Practice address phone:** (720) 824-3324
- **Mailing address:** 115 WILCOX ST, ST 200, CASTLE ROCK, CO 80104
- **Mailing address phone:** (720) 824-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025