| NPI | 1518089994 |
|---|---|
| Doing Business As | PASSPORT HEALTH COLORADO |
| Entity Type | Organization |
| Authorized Contact | MICHELLE D REESMAN Executive Director 303-442-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 128299) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |