| NPI | 1205533668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLY MARIE YINGST Nurse Practitioner 970-391-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |