| NPI | 1528566304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY LYNN PATTON Owner/Provider 970-799-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0002000-NP) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-02-07 |