Individual
IRINA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BUCK CREEK RD STE 200, AVON, CO 81620-5428
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0995070
CO
Other
Enumeration date
02/04/2020
Last updated
08/15/2022
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