Organization · Type 2 NPI
Canon Professional Wellness Clinic LLC
Primary Care Nurse Practitioner · Canon City, CO
NPI number
1780384560
Active
Practice location
730 Macon Ave
Canon City, CO 81212-3314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
5 other providers at this address
- Canon Professional, L.l.c.Primary Care Clinic/Center Canon City, CO NPI 1568625549
- Dana Gail Guilkey, R.N., FNP-CFamily Nurse Practitioner Canon City, CO NPI 1194937938
- Gary Alan Mohr, MDFamily Medicine Physician Canon City, CO NPI 1659481836
- Leslie Nelson, FNPFamily Nurse Practitioner Canon City, CO NPI 1720721251
- Sheila Repka, NPFamily Nurse Practitioner Canon City, CO NPI 1497323620
About NPI 1780384560
Canon Professional Wellness Clinic LLC's National Provider Identifier is 1780384560, issued on Mar 9, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Canon City, CO. The record was last updated on Feb 19, 2024.