Doctor Name: | NEILENE FOLKS |
NPI Number: | 1205965613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1120 |
Business Practice Address: | 785 Russell Street Craig, CO - 816252515 |
Business Phone Number: | 9708262400 |
Business Fax Number: | 9708262439 |
Mailing Address: | 785 Russell Street, CRAIG |
State: | CO |
Postal Code: | 816252515 |
Phone Number: | 9708262400 |
Fax Number: | 9708262439 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |