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Latasha Deanne Myrieckes, APRN
Family Nurse Practitioner in Pueblo, Colorado
NPI 1902376312

Latasha Deanne Myrieckes is a Family Nurse Practitioner based in Fountain, CO and is specialized in Family. Latasha Deanne Myrieckes practices in Pueblo, CO and has the professional credentials of APRN. The NPI Number for Latasha Deanne Myrieckes is 1902376312 and holds a License No. APN0994336NP (Colorado).

The current practice location address for Latasha Deanne Myrieckes is 4776 Eagleridge Cir, Pueblo, CO and can be reached out via phone at 719-553-1000.

Location: 4776 Eagleridge Cir, Pueblo, CO, 80817-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902376312
Provider Name
Latasha Deanne Myrieckes
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
4776 Eagleridge Cir, Pueblo, CO, 80817-6601
Phone Number
719-553-1000
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4776 Eagleridge Cir
City
Pueblo
State
Colorado
Zip
81008-2189
Phone Number
719-553-1000
Fax Number
person
Provider Business Mailing Address Details
Address
4776 Eagleridge Cir
City
Pueblo
State
Colorado
Zip
81008-2189
Phone Number
719-553-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN0994336NP (Colorado)
Definition
Definition to come...
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