Brian Dale Acres Valid NPI

Individual provider · Ambulatory Care Registered Nurse · Lafayette, CO

NPI

1174865752

Type

Individual (Type 1)

Primary specialty

Ambulatory Care Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP2201X

License number

163WP2201X (CO)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-03-21

Last updated

2013-03-21