| NPI | 1134943657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY L BIBEAU Project Director 720-308-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-22 |