Individual provider · Type 1 NPI
Marcy Jo Brack, RN
Ambulatory Care Registered Nurse · Longmont, CO
NPI number
1154645125
Active
Practice location
2345 Bent Way
Longmont, CO 80503-7614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 68923 (CO) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1154645125
Marcy Jo Brack, RN's National Provider Identifier is 1154645125, issued on Mar 19, 2010. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Longmont, CO. The record was last updated on Mar 19, 2010.