Provider Demographics
NPI:1588932867
Name:ART OF HEALTH DBA BOULDER INTEGRATIVE HEALTH
Entity type:Organization
Organization Name:ART OF HEALTH DBA BOULDER INTEGRATIVE HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BALLAS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-459-4875
Mailing Address - Street 1:2727 PINE ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-3824
Mailing Address - Country:US
Mailing Address - Phone:303-459-4875
Mailing Address - Fax:303-323-6242
Practice Address - Street 1:2727 PINE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-3824
Practice Address - Country:US
Practice Address - Phone:303-459-4875
Practice Address - Fax:303-323-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1588773485OtherNPI