NORTHERN COLORADO WOUND AND OSTOMY CENTER


Address: 2912 Lake Hollow Rd, Berthoud, CO 80513-8461
Phone: 9704122395

NORTHERN COLORADO WOUND AND OSTOMY CENTER (NPI# 1134735335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134735335
Entity Type Organization
Organization Name NORTHERN COLORADO WOUND AND OSTOMY CENTER
Practice Address 2912 Lake Hollow Rd
Berthoud
CO 80513-8461
Practice Telephone 9704122395
Mailing Telephone 9704122395
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Authorized Official Name MAURA DORAN-SNYDER (NP)
Authorized Official Telephone 9704124280
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Northern Colorado Wound and Ostomy Center LLC 1501 Mountain View Ave, Longmont, CO 80501

Office Location

Street Address 2912 LAKE HOLLOW RD
City BERTHOUD
State CO
Zip Code 80513-8461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932715547 Maura Ann Doran Snyder Registered Nurse 2912 Lake Hollow Rd, Berthoud, CO 80513-8461 2020-09-18
1447866082 Melissa Moore Registered Nurse 2912 Lake Hollow Rd, Berthoud, CO 80513-8461 2020-09-18

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1497363196 Grace A Worland Nurse Practitioner 1065 Jade St, Broomfield, CO 80020-1862 2020-07-19
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1710524137 Julie Esther Ayaad Nurse Practitioner 1427 W Rio Grande, Colorado Springs, CO 80905 2019-12-04
1053953521 Jason Rogers Nurse Practitioner 11988 Black Hawk Dr, Conifer, CO 80433-7140 2019-10-16
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Competitor

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City BERTHOUD
Zip Code 80513

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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