Individual
KENDRA BROOKE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 546-9400
Mailing address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 546-9400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0200873
CO
363LF0000X
Family Nurse Practitioner
Primary
0998633-NP
CO
Other
Enumeration date
04/18/2023
Last updated
09/25/2023
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