Organization · Type 2 NPI

Rocky Mountain Sober Living LLC

Primary Care Nurse Practitioner · Colorado Springs, CO

NPI number 1366216970 Active

Practice location

1716 E Yampa St
Colorado Springs, CO 80909-3855

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

Rocky Mountain Transformational Recovery, LLCAddiction Medicine (Internal Medicine) Physician Colorado Springs, CO NPI 1891520060
Sarah Ellen Biermann, FNP-BCFamily Nurse Practitioner Colorado Springs, CO NPI 1518527209

Other primary care nurse practitioner providers in Colorado Springs

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NPI record

NPI: 1366216970
Entity type: Organization (Type 2)
Issued: Nov 14, 2023
Last updated: Apr 23, 2025
Status: Active

Other names

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Rocky Mountain Sober Living LLC · doing business as
Rocky Mountain Sober Living LLC · doing business as

Authorized official

Michael Frank Mattice
Owner Operator
(719) 357-6529

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About NPI 1366216970

Rocky Mountain Sober Living LLC's National Provider Identifier is 1366216970, issued on Nov 14, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 23, 2025.