Individual
BETHANY LYNNE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
(833) 916-2047
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-1804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998324
CO
Other
Enumeration date
01/05/2023
Last updated
05/17/2024
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