Frontier Family Practice LLC
NPI #1255008280 in Burlington, Colorado
Provider Information
- NPI Number
- 1255008280
- Entity Type
- Organization
- Organization Name
- Frontier Family Practice LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 26, 2021
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 4598 CR 60
- City
- Burlington
- State
- Colorado
- ZIP Code
- 80807-1356
- Phone
- (888) 925-5254
Authorized Official
- Name
- DR. BRYCE THACKER, DNP, FNP-BC, PMHNP
- Title
- OWNER
- Phone
- (888) 925-5859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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