| NPI | 1396493367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TURK Owner/Provider 970-645-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-07-27 |