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MARY C ADLER CERT PED NURSE PRACT
Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1568466373
Individual Registrant: MARY C ADLER CERT PED NURSE PRACT
Gender: F
Not Sole Proprietor
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
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
Tel: 303-678-6137 Fax: 303-678-6125
Registration Information:
NPI: 1568466373
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics | CO | 49115 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 07026354 | CO | 05 |
