Healthcare Provider Details

I. General information

NPI: 1356866107
Provider Name (Legal Business Name): ELIZABETH DEPALMA DNP, APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2017
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 INTERLOCKEN CRES STE 350
BROOMFIELD CO
80021-8051
US

IV. Provider business mailing address

390 INTERLOCKEN CRES STE 350
BROOMFIELD CO
80021-8051
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-8555
  • Fax: 720-954-3679
Mailing address:
  • Phone: 720-770-8555
  • Fax: 720-954-3679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0994896-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: