Individual
MRS. MARY IRENE BOBYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3654
(303) 853-3656
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3654
(303) 853-3656
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
122769-4807
CO
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
122769-4807
CO
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
122769-4807
CO
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
122769-4807
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100718
COLORADO RXN
CO
01
—
122769-4807
COLORADO APN
CO
Enumeration date
12/15/2006
Last updated
03/07/2023
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