Foothills Vaccine Clinic LLC
Nurse Practitioner, Family in Littleton, CO. Organization (NPI-2).
NPI number1356920573
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1356920573
- Entity type
- Organization (NPI-2)
- Legal business name
- Foothills Vaccine Clinic LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
2679 W Main St Ste 300-220Littleton, CO 80120-1950
Phone 303-720-9369
Mailing address
2679 W Main StLittleton, CO 80120-1950
Phone 720-669-3470
Authorized official
Darcy Koehn
President
3037209369
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