Individual
MS. DIANA MARIA CLOUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
3520 RIO BRAVO DR, CANON CITY, CO 81212-7713
(719) 431-0157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0038223
CO
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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