NPI | 1023511326 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE CHARLOTTE SMILEY Nurse Practitioner/Owner 719-478-2095 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO 79293) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-03-13 |