| NPI | 1720334899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MCGARRY Director, President 720-771-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 88483) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2014-09-07 |