Individual
DIERRE N PUUMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7455 W COLFAX AVE, LAKEWOOD, CO 80214-5400
(303) 645-4892
(303) 232-3571
Mailing address
PO BOX 124, GRAND LAKE, CO 80447-0124
(970) 627-1788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72301
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53871774
—
CO
Enumeration date
01/22/2007
Last updated
06/12/2008
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