Organization
MERISTEM MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANNON PMHNP (NURSE PRACTITIONER)
(303) 618-1273
Entity
Organization
Contact information
Practice address
2770 ARAPAHOE RD STE 701, LAFAYETTE, CO 80026-8018
(303) 618-1273
Mailing address
2770 ARAPAHOE RD STE 701, LAFAYETTE, CO 80026-8018
(303) 618-1273
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000176525
—
CO
Enumeration date
04/07/2025
Last updated
04/07/2025
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