Organization · Type 2 NPI
Sparkwell Mental Health Services LLC
Psychiatric/Mental Health Nurse Practitioner · Boulder, CO
NPI number
1699464792
Active
Practice location
911 Mcintire St
Boulder, CO 80303-2724
Mailing address
2525 Arapahoe Ave Unit E4
Boulder, CO 80302-6746
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 1699464792
Sparkwell Mental Health Services LLC's National Provider Identifier is 1699464792, issued on May 4, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boulder, CO. The record was last updated on May 11, 2026.