Individual provider · Type 1 NPI
Marvell Demon Granville, RN
Psychiatric/Mental Health Registered Nurse · Aurora, CO
NPI number
1255207064
Active
Practice location
1290 S Potomac St
Aurora, CO 80012-4524
Mailing address
1290 Chambers Rd
Aurora, CO 80011-7117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 1-189872 (AL) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 1-189872 (AL) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1255207064
Marvell Demon Granville, RN's National Provider Identifier is 1255207064, issued on Oct 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Aurora, CO. The record was last updated on Oct 1, 2026.