JASON ROSS IMMERTREU

PAGOSA SPRINGS, CO
NPI1740662642
Former NameJASON ROSS KLAPSTEIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO  APN.0997363-NP)
Enumeration Date2015-06-26
Last Update Date2022-04-29
Business Address
JASON ROSS IMMERTREU APN
52 VILLAGE DR
PAGOSA SPRINGS, CO 81147-8368
Phone number: 970-264-2104
Mailing Address
JASON ROSS IMMERTREU APN
PO BOX 1328
DURANGO, CO 81302-1328
Phone number: 970-335-2238