Connie Edgar N.P. C

NPI 1558648741 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1558648741
Gender Female
Enumeration Date 11/16/2011
Last Updated 11/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
19023 US HIGHWAY 285
LA JARA CO, 81140, US
Phone (719) 274-4307
Fax (719) 274-4309
Business Location
PO BOX 78
LA JARA CO, 81140-0078, US
Phone (719) 274-4307
Fax (719) 274-4309
Toxanomy
Taxonomy Code 363LF0000X
License State Colorado
License Number NP-990184
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According to our database, Connie Edgar N.P. C NPI is 1558648741, taxonomy code is 363LF0000X and license number is NP-990184, license state is located at Colorado. Connie Edgar N.P. C physically located at 19023 Us Highway 285, La Jara CO, 81140. NPI Number Connie Edgar N.P. C has the Individual type.

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1558648741 NPI number is provided on an as is basis without warranty of any kind. 1558648741 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Edgar N.P. C are for informational purposes only.