is a Registered Nurse in Grand Jct, Colorado. practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for is 1558473082. The last update date is .
's current location address is 2373 G Rd Ste 240, Grand Jct, Colorado. You can contact this provider via phone number 9702437908 and fax number 9702450656. The mailing address for is 2373 G Rd Ste 240, Grand Jct, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2373 G Rd Ste 240, Grand Jct, Colorado |
| Phone Number | 9702437908 |
| Fax Number | 9702450656 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558473082 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2373 G Rd Ste 240 |
|---|---|
| City | Grand Jct |
| State | Colorado (CO) |
| Post Code | 815051006 |
| Phone Number | 9702437908 |
| Fax Number | 9702450656 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 161480 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86526537 | CO | -- |
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