MEDICARE: DREW STEPHENS PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN.1663489	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.1000912-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780573311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DREW STEPHENS PMHNP

Provider Business Mailing Address
First Line	:	8745 W OTTAWA AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4010
Country	:	US
Telephone Number	:	720-722-2862
Fax Number	:	720-794-3352

Provider Business Practice Location Address
First Line	:	8745 W OTTAWA AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-4010
Country	:	US
Telephone Number	:	720-722-2862
Fax Number	:	720-794-3352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/10/2026

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