Provider Demographics
NPI:1780573311
Name:STEPHENS, DREW (PMHNP)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0102
Mailing Address - Country:US
Mailing Address - Phone:720-722-3961
Mailing Address - Fax:
Practice Address - Street 1:12424 BIG TIMBER DR UNIT 3
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-6410
Practice Address - Country:US
Practice Address - Phone:720-722-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1663489363LP0808X
COAPN.1000912-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health