Provider Demographics
NPI:1639754633
Name:LIU, JOYCE TIEN YUE
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:TIEN YUE
Last Name:LIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 W STANFORD AVE APT 3306
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7367
Mailing Address - Country:US
Mailing Address - Phone:305-322-5206
Mailing Address - Fax:
Practice Address - Street 1:1120 DELAWARE ST STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2700
Practice Address - Country:US
Practice Address - Phone:720-460-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0996329-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health