Provider Demographics
NPI:1831231489
Name:CONTRERAS, MANDY MARIE (NP-C, MSN)
Entity type:Individual
Prefix:MRS
First Name:MANDY
Middle Name:MARIE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:NP-C, MSN
Other - Prefix:
Other - First Name:MANDY
Other - Middle Name:MARIE
Other - Last Name:MERCADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:7555 E HAMPDEN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4832
Mailing Address - Country:US
Mailing Address - Phone:720-239-1134
Mailing Address - Fax:888-860-1860
Practice Address - Street 1:7555 E HAMPDEN AVE STE 103
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4832
Practice Address - Country:US
Practice Address - Phone:720-239-1134
Practice Address - Fax:888-860-1860
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0010271363LA2200X
CO160741163W00000X
CO10271363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO67779751Medicaid