| NPI | 1720178270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA KAY MARONN JOHNSON President 970-389-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 109150) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-08-24 |