| NPI | 1023357514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN CARPENTER Owner 719-671-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP0990625) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 3535) |
| 111NN1001X Chiropractor, Nutrition (Licence: MO 6069) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |