NP PRIMARY WELLNESS NPI 1730929845

NPI Information

  • NPI: 1730929845
  • Provider Name: NP PRIMARY WELLNESS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 06D2316161
  • Address: 805 EAGLERIDGE BLVD STE 140
    PUEBLO, CO
    ZIP 81008
  • Phone: (719) 966-0442

Map and Directions

Get Directions

NPI Details

NP PRIMARY WELLNESS is a family nurse practitioner in Pueblo, CO. NP PRIMARY WELLNESS NPI is 1730929845. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

805 EAGLERIDGE BLVD STE 140
PUEBLO, CO
ZIP 81008-354
Phone: (719) 966-0442
Fax: (719) 888-6835

The provider's authorized official is Darcy Heim .
The authorized official title is Fnp/ Owner and has the following contact phone number (303) 884-0229.

The CLIA number assigned to this NPI record is 06D2316161 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2024 and was last updated on 12/29/2024.

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
1363LF0000XNurse PractitionerFamilyYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI