Provider Demographics
NPI:1194308734
Name:POWER, RICHELLE AURA (MSN CNM PMHNP-BC MPH)
Entity type:Individual
Prefix:
First Name:RICHELLE
Middle Name:AURA
Last Name:POWER
Suffix:
Gender:F
Credentials:MSN CNM PMHNP-BC MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10523 ROLLING PEAKS DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-3828
Mailing Address - Country:US
Mailing Address - Phone:719-287-4782
Mailing Address - Fax:
Practice Address - Street 1:10523 ROLLING PEAKS DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-3828
Practice Address - Country:US
Practice Address - Phone:719-287-4782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-02
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998000-NP363LP0808X
COAPN.0996469-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health