| Jodi Trujillo Psychiatric Nurse Practitioner | |
|
635 W Corona Ave Ste 200 Pueblo CO 81004-1210 | |
| (719) 431-1615 | |
| Not Available |
| Full Name | Jodi Trujillo Psychiatric Nurse Practitioner |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 635 W Corona Ave Ste 200, Pueblo, Colorado |
| Authorized Official Name and Position | Jodi R Trujillo (EMPLOYEE) |
| Authorized Official Contact | 7194311615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Trujillo Psychiatric Nurse Practitioner 37 S Briarwood Pl Pueblo CO 81005-1803 Ph: (719) 431-1615 | Jodi Trujillo Psychiatric Nurse Practitioner 635 W Corona Ave Ste 200 Pueblo CO 81004-1210 Ph: (719) 431-1615 |
| NPI Number | 1801537543 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801537543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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