Organization · Type 2 NPI
Pediatric Telehealth of Colorado Inc
Pediatric Nurse Practitioner · Pueblo, CO
NPI number
1083312912
Active
Practice location
356 S Mcculloch Blvd Ste 106
Pueblo, CO 81007-2848
Fax (833) 941-1671
Mailing address
930 S Cayuga Dr
Pueblo, CO 81007-1935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1083312912
Pediatric Telehealth of Colorado Inc's National Provider Identifier is 1083312912, issued on Feb 20, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pueblo, CO. The record was last updated on May 14, 2025.