| NPI | 1548713993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARA WOLFE Owner 719-761-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991288-NP) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |