Provider Demographics
NPI:1568088409
Name:PONTIERO, MARIA SUZETTE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:SUZETTE
Last Name:PONTIERO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1090 S. WADSWORTH BLVD
Mailing Address - Street 2:UNIT C PMB 3045
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226
Mailing Address - Country:US
Mailing Address - Phone:720-702-4889
Mailing Address - Fax:720-815-0376
Practice Address - Street 1:355 S TELLER ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-7390
Practice Address - Country:US
Practice Address - Phone:720-702-4889
Practice Address - Fax:720-815-0376
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996737-NP2084P0800X
CO0996737363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry