Provider Demographics
NPI:1295023430
Name:ONSTOTT, ANNE THERESE (PMHNP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:THERESE
Last Name:ONSTOTT
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Gender:F
Credentials:PMHNP
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Mailing Address - Street 1:2100 BROADWAY
Mailing Address - Street 2:STOUT STREET CLINIC INTEGRATED BEHAVIORAL HEALTH
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2526
Mailing Address - Country:US
Mailing Address - Phone:303-312-9577
Mailing Address - Fax:303-293-6511
Practice Address - Street 1:2100 BROADWAY
Practice Address - Street 2:STOUT STREET CLINIC INTEGRATED BEHAVIORAL HEALTH
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2526
Practice Address - Country:US
Practice Address - Phone:303-312-9577
Practice Address - Fax:303-293-6511
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2013-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO79927363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner