HALF MOON. HEALTH & WELLNESS NPI 1174398515

NPI Information

NPI: 1174398515
Provider Name: HALF MOON. HEALTH & WELLNESS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3400 INDUSTRIAL LN UNIT 1A
BROOMFIELD, CO
ZIP 80020
Phone: (720) 912-4098
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HALF MOON. HEALTH & WELLNESS is a primary care clinic center in Broomfield, CO. HALF MOON. HEALTH & WELLNESS NPI is 1174398515. The provider is registered as an organization entity type.

The provider's business location address is:

3400 INDUSTRIAL LN UNIT 1A
BROOMFIELD, CO
ZIP 80020-650
Phone: (720) 912-4098

The provider's authorized official is Kristina R Gutzman .
The authorized official title is Nurse Practitioner and has the following contact phone number (805) 400-7747.

The enumeration date for this NPI number is 11/15/2023 and was last updated on 11/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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