Individual
MARY C ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT PED NURSE PRACT
Contact information
Practice address
529 COFFMAN ST, STE 200, LONGMONT, CO 80501-5450
(303) 678-6137
(303) 678-6125
Mailing address
529 COFFMAN ST, STE 200, LONGMONT, CO 80501-5450
(303) 678-6137
(303) 678-6125
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
49115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07026354
—
CO
Enumeration date
06/09/2005
Last updated
07/19/2007
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