Individual
MR. JAIMIE C DIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
1762 HOFFMAN DR STE 101, LOVELAND, CO 80538-4292
(970) 235-0615
Mailing address
1762 HOFFMAN DR STE 101, LOVELAND, CO 80538-4292
(970) 235-0615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0993371-NP
CO
363LF0000X
Family Nurse Practitioner
112453
NE
363LF0000X
Family Nurse Practitioner
37741.1750
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0103879
CO
Other
Enumeration date
04/09/2018
Last updated
01/15/2025
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