Organization
CULTIVATE MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA TANNER PHD MBA CNM PMHNP-BC (PRESIDENT)
(303) 918-9828
Entity
Organization
Contact information
Practice address
11164 CHEROKEE ST, NORTHGLENN, CO 80234-3918
(303) 918-9828
(303) 529-3167
Mailing address
11164 CHEROKEE ST, NORTHGLENN, CO 80234-3918
(303) 918-9828
(303) 529-3167
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
06/16/2021
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