| NPI | 1982403143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA HETTICK Owner 303-457-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |