Colorado State University Pueblo

LBN: Colorado State University Pueblo
Colorado State University Pueblo is an health care organization with primary practice located at 2200 Bonforte Blvd # 172 , Pueblo CO 81001-4901. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Colorado State University Pueblo can be contacted via phone (719) 549-2830, or through Daugherty, Carolyn Kay via phone (719) 549-2830.

Contact Information

Primary practice address
2200 Bonforte Blvd # 172 Pueblo CO 81001-4901
Phone: (719) 549-2830
Fax: (719) 549-2646
Website:
Map and Directions
Authorized official contact:
Name: Daugherty, Carolyn Kay FNP-BC
Phone: (719) 549-2830

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1467225730
LBN Legal business name Colorado State University Pueblo
DBA Doing business as
Authorized official Daugherty, Carolyn Kay FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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