Canon Professional Wellness Clinic LLC

Organization Active
NPI 1780384560
Primary Care Nurse Practitioner Canon City, CO

NPI 1780384560 belongs to Canon Professional Wellness Clinic LLC, a primary care nurse practitioner with a practice location in Canon City, CO. The NPI was issued on March 9, 2023, and the record was last updated in NPPES on February 19, 2024. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X Not listed
Non-Surgical Family Planning Clinic/Center 261QF0050X Not listed

Practice location

730 Macon Ave
Canon City, CO 81212-3314
Phone: (719) 275-1618

Local context

Active NPPES records list 3 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 224 in Colorado and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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