| NPI | 1720776495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE RAWLS Fnp 970-939-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |