Individual provider · Type 1 NPI

Latasha Deanne Myrieckes, APRN

Family Nurse Practitioner · Pueblo, CO

NPI number 1902376312 Active

Practice location

4776 Eagleridge Cir
Pueblo, CO 81008-2189

Mailing address

1150 Lords Hill Dr
Fountain, CO 80817-6601

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN0994336NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1902376312

Latasha Deanne Myrieckes, APRN's National Provider Identifier is 1902376312, issued on Nov 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 28, 2018.