JODELL C SAMS CRNFA LLC NPI 1578129839

NPI Information

NPI: 1578129839
Provider Name: JODELL C SAMS CRNFA, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2911 COUNTRY CLUB DR
PUEBLO, CO
ZIP 81008
Phone: (719) 240-2008
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JODELL C SAMS CRNFA, LLC is a surgical physician assistant in Pueblo, CO. JODELL C SAMS CRNFA, LLC NPI is 1578129839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2911 COUNTRY CLUB DR
PUEBLO, CO
ZIP 81008-202
Phone: (719) 240-2008

The provider's authorized official is Jodell C Warner .
The authorized official title is Crnfa and has the following contact phone number (719) 240-2008.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 5/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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