CARLOTTA J. FENDRICH LLC NPI 1801206990

NPI Information

NPI: 1801206990
Provider Name: CARLOTTA J. FENDRICH, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
401 MICHIGAN ST
PUEBLO, CO
ZIP 81004
Phone: (719) 545-3555
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CARLOTTA J. FENDRICH, LLC is a primary care clinic center in Pueblo, CO. CARLOTTA J. FENDRICH, LLC NPI is 1801206990. The provider is registered as an organization entity type.

The provider's business location address is:

401 MICHIGAN ST
PUEBLO, CO
ZIP 81004-138
Phone: (719) 545-3555
Fax: (719) 545-1517

The provider's authorized official is Carlotta J Fendrich .
The authorized official title is Nurse Practitioner and has the following contact phone number (719) 545-3555.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 5/12/2014.

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	261QP2300X	Clinic/Center	Primary Care	105868	COLORADO	Yes

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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