NPI | 1134551062 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA LOUISE STEWART CEO/Clinical Provider 303-520-4995 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990134) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990134) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2013-08-01 |