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General NPI Number Information
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NPI Number | 1225860711
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Entity Type | Organization
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Legal Business Name | GREEN LOTUS HEALTH & WELLNESS, PLLC
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 2101 S BLACKHAWK ST STE 240
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City | AURORA
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State | CO
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Zip | 80014-1475
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Country | US
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Telephone | 501-613-7863
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Fax | 580-297-9105
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Provider Business Mailing Address
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Address Line | 212 NW 5TH STREET
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City | GUYMON
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State | OK
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Zip | 73942-4204
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Country | US
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Telephone | 580-338-7462
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Fax | 855-538-3350
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Authorized Official
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Title or Position | OWNER
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Name | MARLENE ANGELA BROWN
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Credential | APRN-CNP, PMHNP-BC
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Telephone | 580-338-7462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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