Individual
IVY GUGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19563 E MAINSTREET STE 206B, PARKER, CO 80138-7367
(970) 300-1197
(888) 314-8161
Mailing address
19563 E MAINSTREET STE 206B, PARKER, CO 80138-7367
(970) 300-1197
(888) 314-8161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0996165
CO
Other
Enumeration date
11/25/2020
Last updated
10/09/2025
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