| NPI | 1699423921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JANAE SMITH Medical Director/Nurse Practitioner 970-778-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-07-18 |