| NPI | 1780384560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE NELSON Owner 719-285-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2024-02-19 |