Individual
MRS. JENNA PRAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 ANITA ST, PUEBLO, CO 81001-2122
(719) 225-6510
Mailing address
1401 ANITA ST, PUEBLO, CO 81001-2122
(719) 225-6510
(719) 542-3514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995714-NP
CO
Other
Enumeration date
10/16/2020
Last updated
12/12/2020
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