| NPI | 1942525902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ANN FETZKO Nurse Practitioner 303-343-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 363L00000X) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2023-03-07 |