Pine River Health Care, Inc.

NPI #1780919712 in Bayfield, Colorado

Provider Information

NPI Number: 1780919712
Entity Type: Organization
Organization Name: Pine River Health Care, Inc.
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 8, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 480 WOLVERINE DR
Address 2: #2B
City: Bayfield
State: Colorado
ZIP Code: 81122-9653
Phone: (970) 884-5173

Authorized Official

Name: MRS. NANCY BROOKER, CNP
Title: OWNER, NURSE PRACTITIONER
Phone: (970) 884-5173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
Nurse Practitioner - Women's Health — Women's Health	363LW0102X
Nurse Practitioner	363L00000X	Primary

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