Primary Care Nps INC
Nurse Practitioner, Adult Health in Lakewood, CO. Organization (NPI-2).
NPI number1003209727
StatusActive
Last updated in NPPESMay 7, 2015
Details
- NPI
- 1003209727
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Nps INC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2015
- Last updated
- May 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 104008 | CO | Yes |
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 104008 | CO |
Practice location
12081 W Alameda PkwyLakewood, CO 80228-2701
Phone 303-551-3643
Mailing address
12081 W Alameda PkwyLakewood, CO 80228-2701
Phone 303-551-3643
Authorized official
Tamara Drees
Nurse Practitioner
3035513643
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