Healthcare Provider Details

I. General information

NPI: 1609633775
Provider Name (Legal Business Name): YVETTE TELUSNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON ST STE 704
DENVER CO
80206-5416
US

IV. Provider business mailing address

90 MADISON ST STE 704
DENVER CO
80206-5416
US

V. Phone/Fax

Practice location:
  • Phone: 623-233-0914
  • Fax: 623-321-6050
Mailing address:
  • Phone: 623-233-0914
  • Fax: 623-233-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1645983
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1000764
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: