Organization · Type 2 NPI
Bucky the Wonderhorse
Psychiatric/Mental Health Nurse Practitioner · Denver, CO
NPI number
1407746670
Active
Practice location
6923 E Villanova Pl
Denver, CO 80224-2648
Mailing address
1905 N Sherman St Ste 200
Denver, CO 80203-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407746670
Bucky the Wonderhorse's National Provider Identifier is 1407746670, issued on Jul 8, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Denver, CO. The record was last updated on Jul 8, 2025.