Organization · Type 2 NPI
County Line Health Clinic
Family Nurse Practitioner · Wiley, CO
NPI number
1124795836
Active
Practice location
36053 US Highway 287
Wiley, CO 81092-9702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1124795836
County Line Health Clinic's National Provider Identifier is 1124795836, issued on Aug 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wiley, CO. The record was last updated on Dec 9, 2021.