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NPI Code Detail

MEDICARE: MICHAEL OWEN ESPLIN PMHNP-BC

MEDICARE: MICHAEL OWEN ESPLIN 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
1364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPN.0996962-NPCO

General Provider Information

NPI Number : 1306220330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL OWEN ESPLIN PMHNP-BC
Provider Business Mailing Address
First Line : 110 16TH ST STE 1460
Second Line :
City : DENVER
State : CO
Zip : 80202-5202
Country : US
Telephone Number : 303-406-6903
Fax Number :
Provider Business Practice Location Address
First Line : 110 16TH ST STE 1460
Second Line :
City : DENVER
State : CO
Zip : 80202-5202
Country : US
Telephone Number : 914-602-6586
Fax Number : 720-650-8318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2015
Last Update Date : 01/20/2026

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