Individual
AMANDA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 S MADISON ST, #328, DENVER, CO 80209-3011
(303) 393-1726
Mailing address
614 ENTRADA DR, GOLDEN, CO 80401-6908
(507) 250-3323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0992570
CO
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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