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Individual

IRENE M RAWLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
965 WINEBROOK WAY, FOUNTAIN, CO 80817-4204
(719) 360-0104
Mailing address
965 WINEBROOK WAY, FOUNTAIN, CO 80817-4204
(719) 360-0104

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1617705
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994480-NP
CO

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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