Healthcare Provider Details

I. General information

NPI: 1972948974
Provider Name (Legal Business Name): KRISTIN DEMMERT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 230
DENVER CO
80205-5507
US

IV. Provider business mailing address

2055 N HIGH ST STE 230
DENVER CO
80205-5507
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9990
  • Fax:
Mailing address:
  • Phone: 303-860-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0990662
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0990662
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: