MEDICARE: ASHLEE REBECCA PULVER PMHNP

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	1664019	CO

General Provider Information

NPI Number	:	1811826738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE REBECCA PULVER PMHNP

Provider Business Mailing Address
First Line	:	3739 MOJO CT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7868
Country	:	US
Telephone Number	:	864-921-4126
Fax Number	:

Provider Business Practice Location Address
First Line	:	3739 MOJO CT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7868
Country	:	US
Telephone Number	:	864-921-4126
Fax Number	:

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

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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