Individual
SHERISSA-NICOLE MARTINEZ SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, APRN
Contact information
Practice address
12041 TEJON ST, WESTMINSTER, CO 80234-2314
(303) 993-7356
Mailing address
1670 E CHEYENNE MOUNTAIN BLVD STE F, COLORADO SPRINGS, CO 80906-4002
(720) 808-1082
(719) 247-1788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95106933
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
1644417
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0998119
CO
Other
Enumeration date
12/15/2021
Last updated
02/21/2024
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