# STROCK MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1457859092
- **Authorized official:** AUDREY STROCK DNP, AGPCNP, PMHNP (OWNER)
- **Authorized official phone:** (303) 720-1845

## Contact information

- **Practice address:** 4704 HARLAN ST STE 340, DENVER, CO 80212-7418
- **Practice address phone:** (303) 720-1845
- **Practice address fax:** (303) 479-4958
- **Mailing address:** 1401 WEWATTA ST UNIT 603, DENVER, CO 80202-1346
- **Mailing address phone:** (303) 720-1845
- **Mailing address fax:** (303) 568-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | CO | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | CO | Yes |

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 01/15/2025