Provider Demographics
NPI:1629647011
Name:MAIER, NANCY ANN (RN, PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:MAIER
Suffix:
Gender:F
Credentials:RN, PMHCNS-BC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:VIOLASSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, PMHCNS-BC
Mailing Address - Street 1:2207 MOUNT ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2738
Mailing Address - Country:US
Mailing Address - Phone:310-922-5852
Mailing Address - Fax:
Practice Address - Street 1:2207 MOUNT ROYAL DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2738
Practice Address - Country:US
Practice Address - Phone:310-922-5852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268884163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult