Individual
RICKY ALLEN MONETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
314 W 16TH ST, PUEBLO, CO 81003-2728
(719) 546-3511
(719) 583-1292
Mailing address
30691 BARNETT RD, PUEBLO, CO 81006-9544
(719) 253-0455
(719) 546-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99869
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05785341
—
CO
Enumeration date
03/28/2007
Last updated
07/08/2007
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