NPI | 1144717075 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE SHARON BROWN Provider 303-483-8967 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 133N00000X Nutritionist |
163WD0400X Registered Nurse, Diabetes Educator | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |