| NPI | 1184164519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MAE FROST Nurse Practitioner 970-749-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0991787-NP) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-05 |