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Organization

LIVING WELL HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIANA AVERY NP (OWNER, NURSE PRACTITIONER)
(303) 481-3451
Entity
Organization

Contact information

Practice address
90 MADISON ST, SUITE 305, DENVER, CO 80206-5418
(303) 481-3451
(720) 889-9496
Mailing address
860 E 68TH AVE, DENVER, CO 80229-7102
(303) 481-3451
(720) 889-9496

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP990096
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23838736
CO
Enumeration date
03/05/2015
Last updated
03/05/2015
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