Individual
HEIDI KATHLEEN LARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 E RAILROAD AVE, MANCOS, CO 81328-9329
(970) 533-9125
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 459-7166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1627658
CO
363L00000X
Nurse Practitioner
Primary
APN.0998906-NP
CO
Other
Enumeration date
07/12/2023
Last updated
11/27/2023
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