| NPI | 1730657636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EMILIO MARQUEZ President/Nurse Practitioner 719-627-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-05-08 |