Organization
PREMIERE HEALTHCARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN JO GUTIERREZ PHD, RN, ANP-BC,ACNS (PRESIDENT/CEO)
(303) 918-6386
Entity
Organization
Contact information
Practice address
14828 W 6TH AVE, SUITE 16-B, GOLDEN, CO 80401-5000
(303) 918-6386
(303) 232-6201
Mailing address
15400 W 64TH AVE, UNIT 9 BOX 359, ARVADA, CO 80007-6852
(303) 918-6386
(303) 232-6201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1866
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62534084
—
CO
Enumeration date
10/21/2016
Last updated
12/27/2016
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