Individual
AMY HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
141 KODIAK DR UNIT 202, BASALT, CO 81621-8130
(970) 279-1472
Mailing address
141 KODIAK DR UNIT 202, BASALT, CO 81621-8130
(970) 279-1472
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0996693-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/15/2021
Last updated
09/06/2024
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