Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANON PROFESSIONAL WELLNESS CLINIC LLC
Active OrganizationPrimary Care Nurse Practitioner · CANON CITY, CO
Registration Details
- NPI Number
- 1780384560
- Provider Type
- Organization
- NPI Issued
- Mar 9, 2023 (3.1217652385156 yrs)
- Last Updated
- Feb 19, 2024
Practice Information
- Address
-
730 MACON AVECANON CITY, CO, 812123314Browse CO providers · Browse ZIP 81212
- Phone
- 7192751618
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.