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NPI Code Detail

MEDICARE: EMBERWOOD MENTAL WELLNESS LLC

MEDICARE: EMBERWOOD MENTAL WELLNESS LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1992506422
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBERWOOD MENTAL WELLNESS LLC
Provider Business Mailing Address
First Line : 274 UNION BLVD STE 430
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-2007
Country : US
Telephone Number : 720-204-2903
Fax Number :
Provider Business Practice Location Address
First Line : 274 UNION BLVD STE 430
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-2007
Country : US
Telephone Number : 720-204-2903
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRITTNEE ROGERS
Credential : APRN, PMHNP-BC
Telephone Number : 720-204-2903
Provider Enumeration Date : 03/21/2025
Last Update Date : 04/24/2025

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Directions to “EMBERWOOD MENTAL WELLNESS LLC ” Practice Location

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