institution
Loma Vista General And Family Practice
Family Nurse Practitioner in La Junta, Colorado
NPI 1407219579

Loma Vista General And Family Practice is a Family Nurse Practitioner based in La Junta, CO and is specialized in Family. Loma Vista General And Family Practice practices in La Junta, CO. The NPI Number for Loma Vista General And Family Practice is 1407219579 and holds a License No. 0992269-NP (Colorado).

The current practice location address for Loma Vista General And Family Practice is 2201 San Juan Ave, La Junta, CO and can be reached out via phone at 719-384-8181 and via fax at 719-384-4872.

Location: 2201 San Juan Ave, La Junta, CO, 81050-3323
institution
Provider Profile Details
NPI Number
1407219579
Provider Name
Loma Vista General And Family Practice
Credential
Provider Entity Type
Organization
Address
2201 San Juan Ave, La Junta, CO, 81050-3323
Phone Number
719-384-8181
Fax Number
719-384-4872
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0992269-NP 01 CO COLORADO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2201 San Juan Ave
City
State
Zip
81050-3323
Phone Number
719-384-8181
Fax Number
719-384-4872
person
Provider Business Mailing Address Details
Address
2201 San Juan Ave
City
State
Zip
81050-3323
Phone Number
719-384-8181
Fax Number
719-384-4872
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0992269-NP (Colorado)
Definition
Definition to come...
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