Individual provider · Type 1 NPI
Holly Marie Ellis-Ponomarev, RN, BSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Littleton, CO
NPI number
1437500097
Active
Practice location
6509 S Santa Fe Dr
Littleton, CO 80120-2910
Mailing address
700 Potomac St
Aurora, CO 80011-6844
Other practice locations
- 1615 Foxtrail Dr Ste 230, Loveland, CO 80538-9087 · (970) 820-0470
- 9218 Kimmer Dr Ste 200, Lone Tree, CO 80124-6733 · (303) 683-5620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 992603 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 992603 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1437500097
Holly Marie Ellis-Ponomarev, RN, BSN, PMHNP-BC's National Provider Identifier is 1437500097, issued on Jun 24, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Littleton, CO. The record was last updated on Mar 17, 2020.