Organization
HOLISTIC INTEGRATIVE PSYCHIATRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE GRANDI-NIKANDER MSN, FNP (OWNER)
(303) 444-6800
Entity
Organization
Contact information
Practice address
1980 KETTNER BLVD APT 237, SAN DIEGO, CA 92101-2256
(303) 444-6800
(303) 496-6802
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(619) 548-7474
(303) 496-6802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/24/2021
Last updated
08/17/2021
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