Organization
ALDER GROVE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY VAUSE PMHNP (OWNER)
(720) 331-6899
Entity
Organization
Contact information
Practice address
10465 MELODY DR STE 226, NORTHGLENN, CO 80234-4120
(720) 331-6899
(720) 306-5499
Mailing address
90 MADISON ST STE 302, DENVER, CO 80206-5412
(720) 331-6899
(720) 306-5499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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