LOMA VISTA GENERAL AND FAMILY PRACTICE NPI 1407219579

NPI Information

NPI: 1407219579
Provider Name: LOMA VISTA GENERAL AND FAMILY PRACTICE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2201 SAN JUAN AVE
LA JUNTA, CO
ZIP 81050
Phone: (719) 384-8181
Get Directions

LOMA VISTA GENERAL AND FAMILY PRACTICE is a family nurse practitioner in La Junta, CO. LOMA VISTA GENERAL AND FAMILY PRACTICE NPI is 1407219579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2201 SAN JUAN AVE
LA JUNTA, CO
ZIP 81050-323
Phone: (719) 384-8181
Fax: (719) 384-4872

The provider's authorized official is Marion Lee Schmucker .
The authorized official title is Owner and has the following contact phone number (719) 384-8181.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

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	363LF0000X	Nurse Practitioner	Family	0992269-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0992269-NP	OTHER	COLORADO	COLORADO STATE LICENSE

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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