Healthcare Provider Details

I. General information

NPI: 1669303954
Provider Name (Legal Business Name): ONE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 INDIANA ST
GOLDEN CO
80401-5050
US

IV. Provider business mailing address

350 INDIANA ST STE 550
GOLDEN CO
80401-6569
US

V. Phone/Fax

Practice location:
  • Phone: 720-594-6962
  • Fax:
Mailing address:
  • Phone: 720-594-6962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEIRDRE FRALLER
Title or Position: CEO
Credential: DNP, ANP, PMHNP-BC
Phone: 720-745-7158