Provider Demographics
NPI:1609633775
Name:TELUSNOR, YVETTE
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:TELUSNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MADISON ST STE 704
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5416
Mailing Address - Country:US
Mailing Address - Phone:623-233-0914
Mailing Address - Fax:623-233-0914
Practice Address - Street 1:90 MADISON ST STE 704
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5416
Practice Address - Country:US
Practice Address - Phone:623-233-0914
Practice Address - Fax:623-321-6050
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1645983163W00000X
CO1000764363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse