Organization
WELL NOURISHED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE MANNING PA-C, CAQ-PSYCH (PA-C)
(720) 241-2489
Entity
Organization
Contact information
Practice address
2801 YOUNGFIELD ST STE 101, GOLDEN, CO 80401-0208
(720) 241-2489
Mailing address
2801 YOUNGFIELD ST STE 101, GOLDEN, CO 80401-0208
(720) 241-2489
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/26/2022
Last updated
07/26/2024
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