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Canon Professional Wellness Clinic Llc
Primary Care Nurse Practitioner in Canon City, Colorado
NPI 1780384560

Canon Professional Wellness Clinic Llc is a Primary Care Nurse Practitioner based in Canon City, CO and is specialized in Primary Care. Canon Professional Wellness Clinic Llc practices in Canon City, CO. The NPI Number for Canon Professional Wellness Clinic Llc is 1780384560 and holds a License No. (Colorado).

The current practice location address for Canon Professional Wellness Clinic Llc is 730 Macon Ave, Canon City, CO and can be reached out via phone at 719-275-1618.

Location: 730 Macon Ave, Canon City, CO, 81212-3314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780384560
Provider Name
Canon Professional Wellness Clinic Llc
Credential
Provider Entity Type
Organization
Address
730 Macon Ave, Canon City, CO, 81212-3314
Phone Number
719-275-1618
Fax Number
Provider Enumeration Date
03/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
730 Macon Ave
City
Canon City
State
Colorado
Zip
81212-3314
Phone Number
719-275-1618
Fax Number
person
Provider Business Mailing Address Details
Address
730 Macon Ave
City
Canon City
State
Colorado
Zip
81212-3314
Phone Number
719-275-1618
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Family Planning, Non-Surgical
Taxonomy
261QF0050X
License No.
()
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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