Organization
PHOENIX MENTAL HEALTH & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMIE L VASQUEZ PMHNP-BC (OWNER, PROVIDER)
(303) 868-5436
Entity
Organization
Contact information
Practice address
5353 W DARTMOUTH AVE STE 400, DENVER, CO 80227-5517
(303) 868-5436
Mailing address
11865 W TULANE DR, MORRISON, CO 80465-1179
(303) 868-5436
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000213185
—
CO
Enumeration date
05/10/2023
Last updated
06/06/2023
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