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TRUMON OTTO CRAFT MSN, A-GNP

Critical Care Medicine >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1033675004

Individual Registrant:
 TRUMON OTTO CRAFT MSN, A-GNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
501 AIRPORT RD  RIFLE, CO 81650-8510 US
Tel: 720-625-1100  Fax: --

Contact information for business:
501 AIRPORT RD  RIFLE, CO 81650-8510 US
Tel: 970-625-1100  Fax: --

Registration Information:
NPI: 1033675004
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
CORN.0169891
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CO0995336-NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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