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Organization

FUNDAMENTAL HEALTH AND PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO STONE PMHNP-BC (MENTAL HEALTH NURSE PRACTITIONER)
(720) 798-1900
Entity
Organization

Contact information

Practice address
8758 WOLFF CT STE 100, WESTMINSTER, CO 80031-6904
(720) 798-1900
Mailing address
7765 WADSWORTH BLVD UNIT 741281, ARVADA, CO 80006-3052
(720) 798-1900
(720) 798-1909

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871139337
CO
Enumeration date
01/31/2023
Last updated
02/20/2023
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