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Individual

MS. LOUISA JEANETTE SISNROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 363-1115
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 363-1115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4974
CO
363LF0000X
Family Nurse Practitioner
APN.0004974-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
76820874
CO
Enumeration date
10/12/2006
Last updated
04/19/2023
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