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Ideal Family Medicine, Ltd
Family Nurse Practitioner in Pueblo, Colorado
NPI 1255865713

Ideal Family Medicine, Ltd is a Family Nurse Practitioner based in Pueblo, CO and is specialized in Family. Ideal Family Medicine, Ltd practices in Pueblo, CO. The NPI Number for Ideal Family Medicine, Ltd is 1255865713 and holds a License No. 0992962 (Colorado).

The current practice location address for Ideal Family Medicine, Ltd is 1910 Lake Ave, Pueblo, CO and can be reached out via phone at 719-582-1489 and via fax at 719-434-9807.

Location: 1910 Lake Ave, Pueblo, CO, 81007-5436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255865713
Provider Name
Ideal Family Medicine, Ltd
Credential
Provider Entity Type
Organization
Address
1910 Lake Ave, Pueblo, CO, 81007-5436
Phone Number
719-582-1489
Fax Number
719-434-9807
Provider Enumeration Date
04/11/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154861995 05 CO
institution
Provider Business Practice Location Address Details
Address
1910 Lake Ave
City
Pueblo
State
Colorado
Zip
81004-3322
Phone Number
719-582-1489
Fax Number
719-434-9807
person
Provider Business Mailing Address Details
Address
1910 Lake Ave
City
Pueblo
State
Colorado
Zip
81004-3322
Phone Number
719-582-1489
Fax Number
719-434-9807
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0992962 (Colorado)
Definition
Definition to come...
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