Boulder Primary Care Inc.
NPI #1780059675 in Boulder City, Nevada
Provider Information
- NPI Number
- 1780059675
- Entity Type
- Organization
- Organization Name
- Boulder Primary Care Inc.
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Dec 3, 2015
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 1252 WYOMING ST
- Address 2
- SUITE 200
- City
- Boulder City
- State
- Nevada
- ZIP Code
- 89005-2745
- Phone
- (702) 293-4488
Authorized Official
- Name
- MRS. MARCIA A SMITH
- Title
- CORPORATE SECRETARY
- Phone
- (702) 293-4488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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