Individual
ALINE LINA JATULIS-WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-4254
Mailing address
589 SHAVANO ST, CRESTED BUTTE, CO 81224-9756
(970) 209-0026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0128013
CO
163WW0000X
Wound Care Registered Nurse
2005463654
CO
363LF0000X
Family Nurse Practitioner
Primary
F10201532
CO
Other
Enumeration date
03/27/2020
Last updated
12/11/2020
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