| NPI | 1356137905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E, KELLER DERAAD CEO 970-829-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-05-14 |