| NPI | 1790177616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT L HYATT Intstructor 720-777-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CO APN 0991546 NP) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |