Individual
MICHAEL K CHISM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2675 S ABILENE ST STE 100, AURORA, CO 80014-2363
(720) 507-4779
(833) 941-5047
Mailing address
15355 E COLFAX AVE UNIT 111717, AURORA, CO 80042-1975
(720) 507-4779
(720) 367-5067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0992884-NP
CO
Other
Enumeration date
02/11/2016
Last updated
08/20/2024
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