PINE RIVER HEALTH CARE INC. NPI 1780919712

NPI Information

  • NPI: 1780919712
  • Provider Name: PINE RIVER HEALTH CARE, INC.
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 480 WOLVERINE DR
    #2B
    BAYFIELD, CO
    ZIP 81122
  • Phone: (970) 884-5173

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NPI Details

PINE RIVER HEALTH CARE, INC. is a nurse practitioner in Bayfield, CO. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. PINE RIVER HEALTH CARE, INC. NPI is 1780919712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

480 WOLVERINE DR
#2B
BAYFIELD, CO
ZIP 81122-653
Phone: (970) 884-5173
Fax: (970) 884-0123

The provider's authorized official is Nancy Brooker .
The authorized official title is Owner, Nurse Practitioner and has the following contact phone number (970) 884-5173.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.

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
1363LA2200XNurse PractitionerAdult Health174732COLORADONo
2363LP2300XNurse PractitionerPrimary Care174732COLORADONo
3363LW0102XNurse PractitionerWomen's Health174732COLORADONo
4363L00000XNurse Practitioner174732COLORADOYes

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
11982704441OTHERCOLORADOINDIVIDUAL NPI

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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