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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Mailing address
6906 VANDAVEER RANCH RD UNIT 26, SALIDA, CO 81201-9810
(480) 329-7739

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996073-NP
CO

Other

Enumeration date
12/07/2020
Last updated
08/25/2022
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