Individual
JOANNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN (PMHNP)
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 957-6564
Mailing address
8011 E 128TH PL, THORNTON, CO 80602-8332
(303) 957-6564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198686
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0997814-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0997814-NP
APN LICENSE NUMBER
CO
Enumeration date
04/03/2015
Last updated
01/17/2023
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