Doctor Name: | REGINA JO GRIEGO |
NPI Number: | 1710274394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, ACNP |
License Number: | NP10270 |
Business Practice Address: | 129 Kansas Ave Walsenburg, CO - 810891818 |
Business Phone Number: | 7197385200 |
Business Fax Number: | |
Mailing Address: | 129 Kansas Ave, WALSENBURG |
State: | CO |
Postal Code: | 810891818 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | NP10270 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |