Organization · Type 2 NPI

Stellar Genesis Professional LLC

Nurse Practitioner · Denver, CO

NPI number 1023852720 Active

Practice location

2806 North Speek Blvd
Denver, CO 80211

Call (303) 582-4657 Map

Mailing address

2012 S Bryant St
Denver, CO 80219-5524

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Other nurse practitioner providers in Denver

See all in Denver →

NPI record

NPI: 1023852720
Entity type: Organization (Type 2)
Issued: Jun 19, 2024
Last updated: Jul 19, 2024
Status: Active

Other names

<unavail>
Stellar Genesis Professional LLC · doing business as
Stellar Genesis Professional LLC · doing business as

Authorized official

Ms. Yuko Blue, FNP
Owner
(303) 582-4657

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1023852720

Stellar Genesis Professional LLC's National Provider Identifier is 1023852720, issued on Jun 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Denver, CO. The record was last updated on Jul 19, 2024.