Individual provider · Type 1 NPI
Matthew Pendergrass, NP
Psychiatric/Mental Health Nurse Practitioner · Denver, CO
NPI number
1730865247
Active
Practice location
300 W 11th Ave Unit 11G
Denver, CO 80204-3690
Mailing address
PO Box 40294
Denver, CO 80204-0294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0998814 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0998814 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730865247
Matthew Pendergrass, NP's National Provider Identifier is 1730865247, issued on Jun 27, 2023. 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 Oct 16, 2026.