Fredi Shae Prochoda DNP,MSN, FNP, FPMHNP

NPI 1023331477 - Registered Nurse - 163W00000X

NPI Details
NPI 1023331477
Gender Female
Enumeration Date 03/11/2010
Last Updated 08/31/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
400 W US HIGHWAY 24
SUITE 201
WOODLAND PARK CO, 80863-4002, US
Phone (719) 434-2050
Fax (719) 434-2423
Business Location
PO BOX 996
WOODLAND PARK CO, 80866-0996, US
Phone (719) 434-2050
Fax (719) 434-2423
Toxanomy
Taxonomy Code 163W00000X
License State Colorado
License Number 177837
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According to our database, Dr. Fredi Shae Prochoda DNP,MSN, FNP, FPMHNP NPI is 1023331477, taxonomy code is 163W00000X and license number is 177837, license state is located at Colorado. Fredi Shae Prochoda DNP,MSN, FNP, FPMHNP physically located at 400 W Us Highway 24, Woodland Park CO, 80863-4002. NPI Number Fredi Shae Prochoda DNP,MSN, FNP, FPMHNP has the Individual type.

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1023331477 NPI number is provided on an as is basis without warranty of any kind. 1023331477 is maintained by the National Plan & Provider Enumeration System. The contents of Fredi Shae Prochoda DNP,MSN, FNP, FPMHNP are for informational purposes only.