| Spirited Np, Llc | |
|
10025 Mesa Rd Cascade CO 80809-1617 | |
| (719) 412-0583 | |
| Not Available |
| Full Name | Spirited Np, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10025 Mesa Rd, Cascade, Colorado |
| Authorized Official Name and Position | Julia Ann Kokes Royall (OWNER/ PROVIDER) |
| Authorized Official Contact | 7194120583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirited Np, Llc 10025 Mesa Rd Cascade CO 80809-1617 Ph: (719) 412-0583 | Spirited Np, Llc 10025 Mesa Rd Cascade CO 80809-1617 Ph: (719) 412-0583 |
| NPI Number | 1952158941 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952158941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |