| NPI | 1780919712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BROOKER Owner, Nurse Practitioner 970-884-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 174732) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 174732) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 174732) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 174732) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |