Provider Demographics
NPI:1356561161
Name:STROCK, AUDREY ALANA (DNP, AGPCNP, PMHNP)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:ALANA
Last Name:STROCK
Suffix:
Gender:F
Credentials:DNP, AGPCNP, 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 12399
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-0399
Mailing Address - Country:US
Mailing Address - Phone:303-720-1845
Mailing Address - Fax:303-479-4958
Practice Address - Street 1:4704 HARLAN ST STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7418
Practice Address - Country:US
Practice Address - Phone:303-720-1845
Practice Address - Fax:303-479-4958
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-172154163WP0808X
COAPN.0991725-NP363LA2200X
COAPN.991725-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health