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Doctors / CO
NURSE PRACTITIONER
Graduated: 2006
NPI: 1174619167
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 700 UCHMG CARDIO/CARDIAC SURG COL
COLORADO SPRINGS, CO 809095533
7196357172
Source: CMS National Downloadable File, September 2026.