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Organization
PRIVATE PRACTICE OF CARRIE HILDEBRANDT LLC
Active
Organization
PRIVATE PRACTICE OF CARRIE HILDEBRANDT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE HILDEBRANDT NP-C AMHNP (PRACTICE OWNER)
(720) 840-5392
Entity
Organization
Contact information
Practice address
4251 KIPLING ST, SUITE # 350, WHEAT RIDGE, CO 80033-2896
(720) 840-5392
(303) 431-3725
Mailing address
4251 KIPLING ST, SUITE # 350, WHEAT RIDGE, CO 80033-2896
(720) 840-5392
(303) 431-3725
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
73505
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11780819
CAQH
CT
01
—
1427102052
CMS NPI
CO
01
—
363LP0808X
NPPES
CO
01
—
73505
COLORADO STATE NURSING LICENSE
CO
Enumeration date
08/11/2012
Last updated
08/11/2012
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