RIVERS EDGE PAIN SPECIALISTS PLLC NPI 1699423921

NPI Information

RIVERS EDGE PAIN SPECIALISTS PLLC is a family nurse practitioner in Grand Junction, CO. RIVERS EDGE PAIN SPECIALISTS PLLC NPI is 1699423921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2249 BROADWAY STE 8
GRAND JUNCTION, CO
ZIP 81507-157
Phone: (970) 314-7094
Fax: (970) 314-7094

The provider's authorized official is Heather Janae Smith .
The authorized official title is Medical Director/nurse Practitioner and has the following contact phone number (970) 778-6323.

The CLIA number assigned to this NPI record is 06D2274107 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 7/18/2022.

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:

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