Individual
EMI NIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 S CRESCENT DR, PUEBLO, CO 81007-5433
(719) 595-7575
Mailing address
121 S CRESCENT DR, PUEBLO, CO 81007-5433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008551
CO
Other
Enumeration date
03/26/2024
Last updated
08/27/2025
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