Organization
MOUNTAIN SUNRISE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MCGUIRE APN (OWNER)
(970) 533-1467
Entity
Organization
Contact information
Practice address
11621 ROAD 38.5, MANCOS, CO 81328-9327
(970) 533-1467
Mailing address
11621 ROAD 38.5, MANCOS, CO 81328-9327
(970) 749-8136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02135051
—
CO
Enumeration date
09/13/2022
Last updated
09/13/2022
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