| NPI | 1841798535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBRE SANDS GOVERNSON Nurse Practitioner 720-429-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-06-21 |