Organization
HIGH COUNTRY INFUSION & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY GLASMEYER CRNA (OWNER)
(970) 485-4573
Entity
Organization
Contact information
Practice address
409 MAIN ST # 216, FRISCO, CO 80443-5929
(970) 485-4573
(970) 406-5086
Mailing address
1685 S COLORADO BLVD UNIT S108, DENVER, CO 80222-4000
(970) 485-4573
(970) 406-5086
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/20/2022
Last updated
02/08/2024
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