Healthcare Provider Details

I. General information

NPI: 1306220330
Provider Name (Legal Business Name): MICHAEL OWEN ESPLIN PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 16TH ST STE 1460
DENVER CO
80202-5202
US

IV. Provider business mailing address

110 16TH ST STE 1460
DENVER CO
80202-5202
US

V. Phone/Fax

Practice location:
  • Phone: 914-602-6586
  • Fax: 720-650-8318
Mailing address:
  • Phone: 303-406-6903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPN.0996962-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: