Provider Demographics
NPI:1871896340
Name:EXCELL, LAURA (RN, NP, LPC, PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:EXCELL
Suffix:
Gender:F
Credentials:RN, NP, LPC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102301
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80250-2301
Mailing Address - Country:US
Mailing Address - Phone:303-900-7236
Mailing Address - Fax:
Practice Address - Street 1:2055 S ONEIDA ST STE 390
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2436
Practice Address - Country:US
Practice Address - Phone:303-900-7236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO130089163W00000X
CO5457363L00000X
CO2257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner