| Advanced Practice Health Clinic | |
|
1128 Eagleridge Blvd Pueblo CO 81008-2103 | |
| (719) 778-1414 | |
| Not Available |
| Full Name | Advanced Practice Health Clinic |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1128 Eagleridge Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Stacey Kay Molinar (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7197781414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Health Clinic 378 Kelsey Ct Florence CO 81226-7509 Ph: (719) 371-8833 | Advanced Practice Health Clinic 1128 Eagleridge Blvd Pueblo CO 81008-2103 Ph: (719) 778-1414 |
| NPI Number | 1497397657 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497397657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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