Individual
REGINA JO GRIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, ACNP
Contact information
Practice address
129 KANSAS AVE, WALSENBURG, CO 81089-1818
(719) 738-5200
Mailing address
129 KANSAS AVE, WALSENBURG, CO 81089-1818
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP10270
CO
363LF0000X
Family Nurse Practitioner
Primary
NP10270
CO
Other
Enumeration date
07/05/2011
Last updated
04/05/2021
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