Individual
SEANA MARIE MALTEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4306
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4306
(719) 595-7886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995099-NP
CO
Other
Enumeration date
10/10/2019
Last updated
01/15/2020
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