Individual
RENEE A. BARALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2767 JANITELL RD, COLORADO SPRINGS, COLORADO SPRINGS, CO 80906-4102
(719) 365-2889
Mailing address
PO BOX 50408, COLORADO SPRINGS, COLORADO SPRINGS, CO 80949-0408
(719) 590-6253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
130515
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89183045
—
CO
Enumeration date
10/13/2005
Last updated
10/25/2015
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