Provider Demographics
NPI:1720566953
Name:EPSTEIN, EMILY DANA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DANA
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4146
Mailing Address - Country:US
Mailing Address - Phone:617-947-8467
Mailing Address - Fax:
Practice Address - Street 1:611 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4146
Practice Address - Country:US
Practice Address - Phone:617-946-8467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN68866163WP0808X
MARN2324289363LP0808X
NM60024363LP0808X
COAPN.0997476-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health