Whalio Doctors

NPI 1144390329

Miranda Jo David, RN

Practitioner Community Health Registered Nurse Divide, CO

Practice location

Address
11505 W. Hwy. 24, Divide, CO 80814
Phone
(719) 687-6416
Mailing address
PO Box 482, Divide, CO 80814-0482

Registered specialties

Community Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WC1500X Licence 128371 (CO)

Registry record

NPI
1144390329
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Nov 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.