NPI | 1689012023 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRIANN HANCE Owner 719-358-6462 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 99681) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2022-07-21 |