MEDICARE: GREEN LOTUS HEALTH & WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1225860711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN LOTUS HEALTH & WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	212 NW 5TH STREET
Second Line	:
City	:	GUYMON
State	:	OK
Zip	:	73942-4204
Country	:	US
Telephone Number	:	580-338-7462
Fax Number	:	855-538-3350

Provider Business Practice Location Address
First Line	:	2101 S BLACKHAWK ST STE 240
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1475
Country	:	US
Telephone Number	:	580-338-7462
Fax Number	:	855-538-3350

Authorized Official
Title or Position	:	APRN-CNP/OWNER
Name	:	MARLENE ANGELA BROWN
Credential	:	APRN-CNP, PMHNP-BC
Telephone Number	:	580-338-7462

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	12/27/2025

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