Individual provider · Type 1 NPI

Joel T. Dekanich, DC, EMT

Family Nurse Practitioner · Edwards, CO

NPI number 1467598128 Active

Practice location

105 Edwards Village Blvd, Suite A-203
Edwards, CO 81632-9914

Fax (970) 926-4602

Mailing address

PO Box 2637, 0105 Edwards Village Bl # A203
Edwards, CO 81632-2637

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1637317 (CO)
Sports Physician Chiropractor 111NS0005X4050 (CO)
Family Nurse Practitioner Primary 363LF0000X0995305 (CO)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1467598128

Joel T. Dekanich, DC, EMT's National Provider Identifier is 1467598128, issued on Jan 29, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edwards, CO. The record was last updated on Feb 11, 2020.