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MARY C ADLER CERT PED NURSE PRACT

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1568466373

Individual Registrant:
 MARY C ADLER CERT PED NURSE PRACT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
529 COFFMAN ST STE 200 LONGMONT, CO 80501-5450 US
Tel: 303-678-6137  Fax: 303-678-6125

Contact information for business:
529 COFFMAN ST STE 200 LONGMONT, CO 80501-5450 US
Tel: 303-678-6137  Fax: 303-678-6125

Registration Information:
NPI: 1568466373
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
CO49115

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
07026354CO05




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