Individual provider · Type 1 NPI
Holly Deffert
Emergency Registered Nurse · Idledale, CO
NPI number
1134090624
Active
Practice location
2885 SE Grapevine Rd
Idledale, CO 80453-5014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 0191644 (CO) |
Emergency Registered Nurse: Definition to come...
About NPI 1134090624
Holly Deffert's National Provider Identifier is 1134090624, issued on Sep 16, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Idledale, CO. The record was last updated on Sep 16, 2025.