Individual provider · Type 1 NPI

John Klube Jr., NURSE PRACTITIONER

Gerontology Nurse Practitioner · Colorado Springs, CO

NPI number 1679161996 Active

Practice location

2502 E Pikes Peak Ave
Colorado Springs, CO 80909-6033

Call (719) 466-8777 Map

Mailing address

4938 Harvest Rd
Colorado Springs, CO 80917-1015

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	APN.0995920-NP (CO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1679161996

John Klube Jr., NURSE PRACTITIONER's National Provider Identifier is 1679161996, issued on Jan 3, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 3, 2021.