ADVANCED PRACTICE HEALTH CLINIC, Family PUEBLO, CO

Contact Information

ADVANCED PRACTICE HEALTH CLINIC

1128 EAGLERIDGE BLVD
PUEBLO, CO 81008-2103

Phone: 719-778-1414
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for ADVANCED PRACTICE HEALTH CLINIC · (Female)

NPI #	`1497397657`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/09/2019
Last updated	01/06/2020 - About 6 years 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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