Organization · Type 2 NPI
4 Corners Children's Clinic
Pediatric Nurse Practitioner · Durango, CO
NPI number
1144832981
Active
Practice location
555 Rivergate Ste B1-109
Durango, CO 81301-7473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1144832981
4 Corners Children's Clinic's National Provider Identifier is 1144832981, issued on Aug 22, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Durango, CO. The record was last updated on Aug 22, 2020.