Provider Demographics
NPI:1891340600
Name:NAMBE, MICHELLE FATIMA
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FATIMA
Last Name:NAMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:FATIMA
Other - Last Name:NAMBE NORVELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 S FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-4837
Mailing Address - Country:US
Mailing Address - Phone:303-935-5652
Mailing Address - Fax:
Practice Address - Street 1:1601 S FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-4837
Practice Address - Country:US
Practice Address - Phone:303-935-5652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor