Individual
HALEY MARILYN HOUTCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 DEXTER ST # 160, FORT LUPTON, CO 80621-1503
(303) 857-7873
Mailing address
1450 DEXTER ST # 160, FORT LUPTON, CO 80621-1503
(303) 857-7873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0998113-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/12/2022
Last updated
12/16/2022
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