Organization
NOCO NEW BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS VASQUEZ FNP-B.C., PMHNP-B.C. (OWNER)
(970) 978-1160
Entity
Organization
Contact information
Practice address
1019 39TH AVE STE J, GREELEY, CO 80634-2501
(970) 909-2035
(970) 909-2068
Mailing address
1019 39TH AVE STE J, GREELEY, CO 80634-2501
(970) 909-2035
(970) 909-2068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91002761
—
CO
Enumeration date
11/05/2020
Last updated
11/05/2020
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