Healthcare Provider Details

I. General information

NPI: 1871402362
Provider Name (Legal Business Name): YANAM2M
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7173 S HAVANA ST STE 600-220
CENTENNIAL CO
80112-3891
US

IV. Provider business mailing address

7173 S HAVANA ST STE 600-220
CENTENNIAL CO
80112-3891
US

V. Phone/Fax

Practice location:
  • Phone: 303-229-3678
  • Fax:
Mailing address:
  • Phone: 303-229-3678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE BROOKER
Title or Position: FOUNDER/CEO
Credential: M.A., B.S., CPFS, CH
Phone: 303-229-3678