| NPI | 1144180837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREANNA IRIS ANASTASIA Nurse Practitioner 970-231-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |