Provider Demographics
NPI:1598243214
Name:LABATE, ALYSSA (NP)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:LABATE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 LAWRENCE WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-7170
Mailing Address - Country:US
Mailing Address - Phone:303-615-9999
Mailing Address - Fax:
Practice Address - Street 1:955 LAWRENCE WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80217-3362
Practice Address - Country:US
Practice Address - Phone:303-615-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993891363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health