# ALDER GROVE HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1992301550
- **Authorized official:** HOLLY VAUSE PMHNP (OWNER)
- **Authorized official phone:** (720) 331-6899

## Contact information

- **Practice address:** 10465 MELODY DR STE 226, NORTHGLENN, CO 80234-4120
- **Practice address phone:** (720) 331-6899
- **Practice address fax:** (720) 306-5499
- **Mailing address:** 90 MADISON ST STE 302, DENVER, CO 80206-5412
- **Mailing address phone:** (720) 331-6899
- **Mailing address fax:** (720) 306-5499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2020
- **Last updated:** 12/09/2020