Dierre N Puumala is a Family in Grand Lake, Colorado. Dierre N Puumala practices all healthcare services and medical treatments related to Family. The NPI Number for Dierre N Puumala is 1598819005. The last update date is 2008-06-12.
Dierre N Puumala's current location address is Po Box 124, Grand Lake, Colorado. You can contact this provider via phone number 9706271788. The mailing address for Dierre N Puumala is Po Box 124, Grand Lake, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dierre N Puumala |
|---|---|
| Address | Po Box 124, Grand Lake, Colorado |
| Phone Number | 9706271788 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1598819005 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | Po Box 124 |
|---|---|
| City | Grand Lake |
| State | Colorado (CO) |
| Post Code | 804470124 |
| Phone Number | 9706271788 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 72301 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53871774 | CO | -- |
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What is the unique identification code assigned to Dierre N Puumala by the Centers for Medicare & Medicaid Services?
The Dierre N Puumala has been issued the NPI (National Provider Identifier) 1598819005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dierre N Puumala's physical address?
The Dierre N Puumala is physically located at Po Box 124, in the city of Grand Lake, CO, with the postal code 804470124.
What is Dierre N Puumala's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dierre N Puumala's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When did Dierre N Puumala receive its 1598819005 assignment?
The Dierre N Puumala was assigned its 1598819005 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Dierre N Puumala last refreshed?
The information related to the Dierre N Puumala, including its address, specialty, and other relevant details, was last updated on 2008-06-12.