Organization
DIANA SMITH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER LLC
Active
Other names
Diana Smith Psychiatric Mental Health Nurse Practitioner LLC, Parkview medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA J SMITH PMHNP (PROVIDER)
(719) 553-7521
Entity
Organization
Contact information
Practice address
635 W CORONA AVE STE 205, PUEBLO, CO 81004-1210
(719) 553-7521
(719) 299-4672
Mailing address
635 W CORONA AVE STE 205, PUEBLO, CO 81004-1210
(719) 553-7521
(719) 299-4672
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G4859
MEDICARE
CO
05
—
39278352
—
CO
05
—
9000189137
—
CO
Enumeration date
08/10/2020
Last updated
11/20/2025
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