Individual
BARBARA A PIVONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1115 2ND ST, FORT LUPTON, CO 80621-1745
(303) 857-2771
(720) 322-9434
Mailing address
203 S ROLLIE AVE, BILLING DEPT - CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0002434-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07882874
—
CO
Enumeration date
06/10/2005
Last updated
06/29/2016
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