Organization
ROCKY MOUNTAIN PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY N. KIRBY FNP-C (NURSE PRACTITIONER/OWNER)
(719) 924-9398
Entity
Organization
Contact information
Practice address
131 S MAIN ST, SUITE 101, PUEBLO, CO 81003-3415
(719) 924-9398
(719) 924-9593
Mailing address
131 S MAIN ST, SUITE 101, PUEBLO, CO 81003-3415
(719) 924-9398
(719) 924-9593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65214
CO
363LF0000X
Family Nurse Practitioner
—
CO
363LP2300X
Primary Care Nurse Practitioner
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45256781
—
CO
Enumeration date
02/22/2011
Last updated
03/08/2017
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