Organization Name: | PRIMARY CARE NPS INC |
NPI Number: | 1003209727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMARA DREES (NURSE PRACTITIONER) |
Mailing Address: | 12081 W Alameda Pkwy Lakewood |
State: | CO US |
Postal Code: | 802282701 |
Phone Number: | 3035513643 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2015 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 104008 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |