Provider Demographics
NPI:1558112573
Name:KIRBY, HEATHER A (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:A
Last Name:KIRBY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10465 MELODY DR STE 226
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4120
Mailing Address - Country:US
Mailing Address - Phone:720-331-6899
Mailing Address - Fax:855-650-8805
Practice Address - Street 1:10465 MELODY DR STE 226
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4120
Practice Address - Country:US
Practice Address - Phone:720-331-6899
Practice Address - Fax:855-650-8805
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1617623163W00000X
COAPN.0999904-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse