NPI | 1720385016 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY N. KIRBY Nurse Practitioner/Owner 719-924-9398 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 65214) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2011-02-22 |
Last Update Date | 2017-03-08 |