| NPI | 1912638057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY GLASMEYER Owner 970-485-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-02-08 |