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Individual

BRETA CLAIRE LOUGHRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
640 HIGH ST UNIT 1, ESTES PARK, CO 80517
(303) 618-1787
(970) 577-4363
Mailing address
640 HIGH ST UNIT 1, ESTES PARK, CO 80517-7665
(303) 618-1787
(970) 577-4363

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0003130
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001436
AANPCP
CO
01
58195
LICENSE
CO
01
F0800341
AANPCP
CO
Enumeration date
09/03/2006
Last updated
04/23/2019
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  • EDI platform