Organization · Type 2 NPI
Advanced Practice Headache and Primary Care Clinic
Family Nurse Practitioner · Pueblo, CO
NPI number
1013490259
Active
Practice location
1128 Eagleridge Blvd
Pueblo, CO 81008
Fax (719) 674-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1013490259
Advanced Practice Headache and Primary Care Clinic's National Provider Identifier is 1013490259, issued on Sep 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 25, 2019.