MEDICARE: KRISTIN DEMMERT APN

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	0990662	CO
2	363LW0102X	Women's Health Nurse Practitioner	0990662	CO

General Provider Information

NPI Number	:	1972948974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN DEMMERT APN

Provider Business Mailing Address
First Line	:	2055 N HIGH ST STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5507
Country	:	US
Telephone Number	:	303-860-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 N HIGH ST STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5507
Country	:	US
Telephone Number	:	303-860-9990
Fax Number	:

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

Provider Enumeration Date	:	05/03/2013
Last Update Date	:	02/04/2025

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