Individual
JASON ROSS IMMERTREU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
52 VILLAGE DR, PAGOSA SPRINGS, CO 81147-8368
(970) 264-2104
(970) 335-2438
Mailing address
PO BOX 1328, DURANGO, CO 81302-1328
(970) 335-2238
(970) 335-2348
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0997363-NP
CO
Other
Enumeration date
06/26/2015
Last updated
02/09/2026
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