Provider Demographics
NPI:1689026502
Name:WERSTEIN, HOLLY CLAIRE (PSYCHIATRIC APRN)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:CLAIRE
Last Name:WERSTEIN
Suffix:
Gender:F
Credentials:PSYCHIATRIC APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N ACADEMY BLVD STE 261967
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1567
Mailing Address - Country:US
Mailing Address - Phone:719-232-5591
Mailing Address - Fax:
Practice Address - Street 1:2020 N ACADEMY BLVD STE 261967
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1567
Practice Address - Country:US
Practice Address - Phone:719-232-5591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-02
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX839799163W00000X
TXAP131142363LP0808X
COC-APN.0000748-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse