| NPI | 1366713679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MARIE SPANGLER Nurse Practitioner 719-590-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 5007) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |