Half Moon Health & Wellness, Ltd. | |
3400 Industrial Ln Unit 1a Broomfield CO 80020-1650 | |
(720) 912-4098 | |
Not Available |
Full Name | Half Moon Health & Wellness, Ltd. |
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Speciality | Clinic/Center |
Location | 3400 Industrial Ln Unit 1a, Broomfield, Colorado |
Authorized Official Name and Position | Kristina R Gutzman (NURSE PRACTITIONER) |
Authorized Official Contact | 8054007747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Half Moon Health & Wellness, Ltd. 3400 Industrial Ln Unit 1a Broomfield CO 80020-1650 Ph: (720) 477-6699 | Half Moon Health & Wellness, Ltd. 3400 Industrial Ln Unit 1a Broomfield CO 80020-1650 Ph: (720) 912-4098 |
NPI Number | 1174398515 |
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Provider Enumeration Date | 11/15/2023 |
Last Update Date | 06/07/2024 |
Medicare PECOS PAC ID | 3274065016 |
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Medicare Enrollment ID | O20241017001140 |
Identifier | Type | State | Issuer |
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1174398515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kristina Renee Gutzman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609150218 PECOS PAC ID: 0446655740 Enrollment ID: I20241017001368 |
Raining Faith Massage Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Mcintosh Ave, Broomfield, CO 80020 Phone: 720-259-2289 Fax: 720-259-2289 | |
Broomfield Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6363 W 120th Ave, Suite 302, Broomfield, CO 80020 Phone: 303-635-2225 | |