Healthcare Provider Details

I. General information

NPI: 1073826459
Provider Name (Legal Business Name): KATHRYN ANN TERRILL MSN, PMHCNS-BC, RXN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN ANN TERRILL-TORREZ MSN, PMHCNS-BC, RXN

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 08/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON STREET SUITE 102
DENVER CO
80206-5418
US

IV. Provider business mailing address

90 MADISON STREET SUITE 102
DENVER CO
80206-5150
US

V. Phone/Fax

Practice location:
  • Phone: 720-331-6899
  • Fax: 720-306-5499
Mailing address:
  • Phone: 720-331-6899
  • Fax: 720-306-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number74752-2820
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License Number74752-2820
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number74752-2820
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number74752-2820
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: