| 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. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174398515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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