NPI | 1013896760 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA LYNN WIBLE Owner And Nurse Practitioner 970-360-5255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-08-28 |
Last Update Date | 2025-09-26 |