| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARA TALIN MINASIAN | 1033724976 | 2020-09-08 |
Mara Talin Minasian [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Mara Talin Minasian is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033724976. Registration indicates Mara Talin Minasian is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 4183044381 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Mara Talin Minasian APRN |
| Practice Office Address | 12303 AIRPORT WAY STE 125 BROOMFIELD, CO US |
| Practice Office Telephone | 9703103406 |
| Mailing Address | 12303 AIRPORT WAY STE 125 BROOMFIELD, CO 800212729 US |
| Business Telephone | 9703103406 |
| Business Fax | 8889654615 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8300 Alcott St Ste 101 | Westminster, CO 800314000 | 9708063695 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APN.0999374-NP
CO |