| NPI | 1174262034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BARRIEAU Owner 970-729-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 174400000X Specialist | |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-11-25 |