| NPI | 1972352136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA KNOP Np/CEO 719-439-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-08-16 |