Provider Demographics
NPI:1386175107
Name:HORWITZ, ADAM J (DNP)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:HORWITZ
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5277 MANHATTAN CIR STE 220
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-8231
Mailing Address - Country:US
Mailing Address - Phone:303-720-1845
Mailing Address - Fax:
Practice Address - Street 1:5277 MANHATTAN CIR STE 220
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-8231
Practice Address - Country:US
Practice Address - Phone:303-720-1845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1643895163W00000X
COAPN.0996145-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse