Individual
JONI MARIE ADELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
802 RIO GRANDE AVE, CREEDE, CO 81130-5144
(719) 658-2416
(719) 658-3001
Mailing address
PO BOX 53, CREEDE, CO 81130-0053
(719) 850-0859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991596-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13801244
—
CO
01
—
403025YNJJ
MEDICARE PTAN
CO
Enumeration date
03/30/2015
Last updated
10/30/2023
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