| NPI | 1124287107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA NEKOUIES HARRISON Nurse Practitioner 719-389-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 169423) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |