Healthcare Provider Details

I. General information

NPI: 1326995044
Provider Name (Legal Business Name): BRYAN HANDWORK PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 HARTFORD DR
BOULDER CO
80305-5716
US

IV. Provider business mailing address

649 HARTFORD DR
BOULDER CO
80305-5716
US

V. Phone/Fax

Practice location:
  • Phone: 303-859-3898
  • Fax:
Mailing address:
  • Phone: 303-859-3898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: BRYAN HANDWORK
Title or Position: OWNER
Credential:
Phone: 303-859-3898