| NPI | 1245683556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETA RENEE BROWDER Owner 719-442-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0005016-NP) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2017-01-06 |