This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / CO
NURSE PRACTITIONER
Graduated: 2022
NPI: 1720721251
CANON PROFESSIONAL WELLNESS CLINIC LLC
730 MACON AVE
CANON CITY, CO 812123314
7192751618
Source: CMS National Downloadable File, September 2026.