| NPI | 1811422082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A SHUE CEO 970-312-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992346-NP) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |