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Colorado State University Pueblo
Family Nurse Practitioner in Pueblo, Colorado
NPI 1467225730

Colorado State University Pueblo is a Family Nurse Practitioner based in Pueblo, CO and is specialized in Family. Colorado State University Pueblo practices in Pueblo, CO. The NPI Number for Colorado State University Pueblo is 1467225730 and holds a License No. (Colorado).

The current practice location address for Colorado State University Pueblo is 2200 Bonforte Blvd # 172, Pueblo, CO and can be reached out via phone at 719-549-2830 and via fax at 719-549-2646.

Location: 2200 Bonforte Blvd # 172, Pueblo, CO, 81001-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467225730
Provider Name
Colorado State University Pueblo
Credential
Provider Entity Type
Organization
Address
2200 Bonforte Blvd # 172, Pueblo, CO, 81001-4901
Phone Number
719-549-2830
Fax Number
719-549-2646
Provider Enumeration Date
10/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2200 Bonforte Blvd # 172
City
Pueblo
State
Colorado
Zip
81001-4901
Phone Number
719-549-2830
Fax Number
719-549-2646
person
Provider Business Mailing Address Details
Address
2200 Bonforte Blvd # 172
City
Pueblo
State
Colorado
Zip
81001-4901
Phone Number
719-549-2830
Fax Number
719-549-2646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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