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MRS. THERESA AMELIA BALET FNP

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

Registrant NPI Number: 1831270438

Individual Registrant:
MRS. THERESA AMELIA BALET FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1845 S TOWNSEND AVE  MONTROSE, CO 81401-5448 US
Tel: 970-252-5015  Fax: 970-964-2499

Contact information for business:
1845 S TOWNSEND AVE  MONTROSE, CO 81401-5448 US
Tel: 970-252-5015  Fax: 970-964-2499

Registration Information:
NPI: 1831270438
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO66777

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ELECTRONIC PROVIDER NUMBEM009040701
02130751CO05
SPECIALTY CODE363L00000X01




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