Provider Demographics
NPI:1558112573
Name:KIRBY, HEATHER A (PMHNP-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:A
Last Name:KIRBY
Suffix:
Gender:F
Credentials:PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7638 W FROST DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4320
Mailing Address - Country:US
Mailing Address - Phone:720-397-1810
Mailing Address - Fax:
Practice Address - Street 1:1420 W CANAL CT STE 20
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5660
Practice Address - Country:US
Practice Address - Phone:720-397-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1617623163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse