| NPI | 1780576942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOLDREN Office Manager 719-635-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |