| NPI | 1679898621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BRAY Owner 303-886-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO 116665) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 116665) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |