ADVANCED PRACTICE HEALTH CLINIC; NPI #1497397657

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

NPI Number	`1497397657`
LBN Legal business name	ADVANCED PRACTICE HEALTH CLINIC
Authorized official	STACEY MOLINAR - (FAMILY NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/09/2019
Last updated	01/06/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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