institution
Timberline Clinic, Inc.
Family Nurse Practitioner in Fairplay, Colorado
NPI 1861618191

Timberline Clinic, Inc. is a Family Nurse Practitioner based in Fairplay, CO and is specialized in Family. Timberline Clinic, Inc. practices in Fairplay, CO. The NPI Number for Timberline Clinic, Inc. is 1861618191 and holds a License No. 43262 (Colorado).

The current practice location address for Timberline Clinic, Inc. is 980 Main St., Fairplay, CO and can be reached out via phone at 719-836-3455 and via fax at 719-836-1792.

Location: 980 Main St., Fairplay, CO, 80440-0723
institution
Provider Profile Details
NPI Number
1861618191
Provider Name
Timberline Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
980 Main St., Fairplay, CO, 80440-0723
Phone Number
719-836-3455
Fax Number
719-836-1792
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01 01 CO CO PACIFICARE
500000326 01 CO RAILROAD MEDICARE
SH29090 01 CO CO BLUE SHIELD
04008850 05 CO
07100753 05 CO
YO634320 01 CO CO BLUE SHIELD
01219609 05 CO
institution
Provider Business Practice Location Address Details
Address
980 Main St.
City
State
Zip
80440-0723
Phone Number
719-836-3455
Fax Number
719-836-1792
person
Provider Business Mailing Address Details
Address
980 Main St.
City
State
Zip
80440-0723
Phone Number
719-836-3455
Fax Number
719-836-1792
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
43262 (Colorado)
Definition
Definition to come...
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