Healthcare Provider Details

I. General information

NPI: 1699477539
Provider Name (Legal Business Name): CECILIA AHEMA YEBOAH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 S ABILENE ST STE 235
AURORA CO
80014-2363
US

IV. Provider business mailing address

4455 E 12TH AVE # 80220
DENVER CO
80220-2415
US

V. Phone/Fax

Practice location:
  • Phone: 303-931-5412
  • Fax:
Mailing address:
  • Phone: 303-504-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0998496-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: