| NPI | 1588932867 |
|---|---|
| Doing Business As | BOULDER INTEGRATIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | CARRIE LEE BALLAS Family Nurse Practitioner 303-459-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5033) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |