Organization
LITTLE POUDRE FAMILY CLINIC, LLC
Active
Other names
Little Poudre Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A MCGRAW F.N.P. (FAMILY NURSE PRACTITIONER)
(970) 472-2001
Entity
Organization
Contact information
Practice address
3817 W COUNTY ROAD 54G, LAPORTE, CO 80535-9360
(970) 472-2001
(970) 212-9336
Mailing address
3817 W COUNTY ROAD 54G, LAPORTE, CO 80535-9360
(970) 472-2001
(970) 212-9336
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46455361
—
CO
Enumeration date
08/20/2010
Last updated
09/22/2011
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