NPI | 1447920228 |
---|---|
Doing Business As | PATHWAYS FAMILY WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | TERRI L CHINN VP Finance 970-298-2020 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-10-26 |