Organization · Type 2 NPI
Soco Primary Care Clinic
Adult Health Nurse Practitioner · Pueblo, CO
NPI number
1124677729
Active
Practice location
1310 Fortino Blvd Ste D
Pueblo, CO 81008-2076
Fax (719) 621-4098
Mailing address
1310 Fortino Blvd
Pueblo, CO 81008-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
4 other providers at this address
- Talk and Play Therapies LLCSpeech-Language Pathologist Pueblo, CO NPI 1699482851
- Chelsea L. Frey, RN, MSN, NP-CPrimary Care Nurse Practitioner Pueblo, CO NPI 1588223598
- Marcella Antoinette Masterson, FNP-BCFamily Nurse Practitioner Pueblo, CO NPI 1811591852
- Nicole Betts, AGNP-CPrimary Care Nurse Practitioner Pueblo, CO NPI 1417327461
About NPI 1124677729
Soco Primary Care Clinic's National Provider Identifier is 1124677729, issued on Sep 6, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Pueblo, CO. The record was last updated on Apr 30, 2020.