FOUR CORNERS NEPHROLOGY ASSOCIATES PC NPI 1417112178

NPI Information

  • NPI: 1417112178
  • Provider Name: FOUR CORNERS NEPHROLOGY ASSOCIATES PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 32D0702383
  • Address: 1902 E 2ND AVE
    DURANGO, CO
    ZIP 81301
  • Phone: (505) 326-6521

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NPI Details

FOUR CORNERS NEPHROLOGY ASSOCIATES PC is a nephrology internal medicine in Durango, CO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. FOUR CORNERS NEPHROLOGY ASSOCIATES PC NPI is 1417112178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1902 E 2ND AVE
DURANGO, CO
ZIP 81301-021
Phone: (505) 326-6521
Fax: (505) 325-6699

The provider's authorized official is Billie Stolworthy .
The authorized official title is Office Manager and has the following contact phone number (505) 326-6521.

The CLIA number assigned to this NPI record is 32D0702383 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2008 and was last updated on 3/19/2020.

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
1207RN0300XInternal MedicineNephrologyYes

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: 11/21/2025

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