MEDICARE: MATTHEW CHARLES PRICE MSN, PMHNP-BC

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	163W00000X	Registered Nurse	RN.1623805	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0990977-NP	CO

General Provider Information

NPI Number	:	1255761110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW CHARLES PRICE MSN, PMHNP-BC

Provider Business Mailing Address
First Line	:	400 S COLORADO BLVD STE 530
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1255
Country	:	US
Telephone Number	:	720-802-4426
Fax Number	:	877-488-1577

Provider Business Practice Location Address
First Line	:	400 S COLORADO BLVD STE 530
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1255
Country	:	US
Telephone Number	:	720-802-4426
Fax Number	:	877-488-1577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	02/27/2026

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