| NPI | 1528541901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE LYN NAWROCKI Dnp 303-945-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |