NPI | 1093388266 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE M DESAIRE Chief Business Development Officer 970-252-5107 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |