Healthcare Provider Details

I. General information

NPI: 1932319985
Provider Name (Legal Business Name): LYNDA J. MONSEY RN, NP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 VALMONT RD
BOULDER CO
80301-1309
US

IV. Provider business mailing address

2855 VALMONT RD
BOULDER CO
80301-1309
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-5160
  • Fax: 303-440-8769
Mailing address:
  • Phone: 303-442-5160
  • Fax: 303-440-8769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number67414
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: