Organization
NEEDLEROCK FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LEE MITCHELL NP (EXECUTIVE DIRECTOR)
(970) 812-6403
Entity
Organization
Contact information
Practice address
375 ELM AVE, CRAWFORD, CO 81415-5011
(970) 812-6403
Mailing address
PO BOX 104, CRAWFORD, CO 81415-0104
(970) 812-6403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178811
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78255856
—
CO
Enumeration date
12/24/2009
Last updated
05/21/2021
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