Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Wound Care Registered Nurse · Pueblo, CO

NPI number 1144016700 Active

Practice location

405 W 15th St Ste 210
Pueblo, CO 81003-2743

Call (719) 584-7300 Map

Fax (719) 595-7059

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

Taxonomy	Code	License
Wound Care Registered Nurse Primary	163WW0000X	None listed

Wound Care Registered Nurse: Definition to come...

NPI record

NPI: 1144016700
Entity type: Organization (Type 2)
Issued: Apr 18, 2025
Last updated: Apr 18, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Wound Care Clinic - Pueblo · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 584-7300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144016700

Poudre Valley Medical Group, LLC's National Provider Identifier is 1144016700, issued on Apr 18, 2025. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Pueblo, CO. The record was last updated on Apr 18, 2025.