Organization
MEDPHONE RX LLC
Active
Other names
MedPhone Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN BARDAGO HU MSN, NP-C (FNP-BC, OWNER)
(970) 646-2153
Entity
Organization
Contact information
Practice address
219 W MAGNOLIA ST, FORT COLLINS, CO 80521-2926
(970) 617-3132
Mailing address
1894 SEVEN LAKES DR, LOVELAND, CO 80538-4841
(720) 771-6292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0990763
CO
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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