Individual provider · Type 1 NPI

Lori Ptak

Registered Nurse · Divide, CO

NPI number 1508372152 Active

Practice location

11115 W Highway 24, Unit 2C
Divide, CO 80814

Fax (719) 687-6501

Mailing address

11115 W. Highway 24, Unit 2C
Divide, CO 80814

Other practice locations

  • 166 E Bennett Ave, Cripple Creek, CO 80813 · (719) 648-9760

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN.1641286 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508372152

Lori Ptak's National Provider Identifier is 1508372152, issued on Dec 19, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Divide, CO. The record was last updated on Mar 17, 2018.