Facts
- Status
- A
- Credential
- RN
- Type
- Individual
- Enumeration date
- 2016-10-31
- Last updated
- 2016-10-31
Specialties
Licenses
- License CO
- RN.0196538
Location
- Practice location
- 302 2ND STREET
- City
- OURAY CO
- Postal code
- 81427
- Phone
- 970-325-4670
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.