Organization
PEDIATRIC TELEHEALTH OF COLORADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE ERIN DOUGLAS CPNP (PEDIATRIC NURSE PRACTITIONER)
(719) 251-2186
Entity
Organization
Contact information
Practice address
356 S MCCULLOCH BLVD STE 106, PUEBLO, CO 81007-2848
(719) 251-2186
(833) 941-1671
Mailing address
930 S CAYUGA DR, PUEBLO, CO 81007-1935
(719) 251-2186
(719) 207-7087
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
05/14/2025
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