Organization
SHADOW MOUNTAIN MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE ELIZABETH MILLER PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(505) 716-0958
Entity
Organization
Contact information
Practice address
1200 28TH ST STE 200B, BOULDER, CO 80303-1756
(505) 716-0958
(720) 684-5091
Mailing address
1245 HUMMINGBIRD CIR, LONGMONT, CO 80501-8693
(505) 716-0958
(720) 684-5091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
07/27/2021
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