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Contact Information

POUDRE VALLEY MEDICAL GROUP, LLC
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO80538-9004
 Phone: 970-624-2500
 Fax: 970-624-1696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Emergency Care

261QE0002X
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for POUDRE VALLEY MEDICAL GROUP LLC · (Female)

NPI # 1467051219
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2020
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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