LOMA VISTA GENERAL AND FAMILY PRACTICE - NPI 1407219579 - Nurse Practitioner in La Junta, CO

Q: What is Loma Vista General And Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Loma Vista General And Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOMA VISTA GENERAL AND FAMILY PRACTICE (NPI 1407219579) is a healthcare organization registered as a family in La Junta, Colorado and active in the NPI registry since April 2016. The organization lists Marion Lee Schmucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1407219579

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameLOMA VISTA GENERAL AND FAMILY PRACTICE

Location Address2201 SAN JUAN AVELa Junta, CO 81050-3323

Mailing Address2201 San Juan AveLa Junta, CO 81050-3323 · (719) 384-8181 · Fax (719) 384-4872

Phone(719) 384-8181

Fax(719) 384-4872

Organization SubpartNo

Authorized OfficialMarion Lee SchmuckerOwner · (719) 384-8181

Enumeration DateApril 5, 2016

✔ NPI 1407219579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · 0992269-NP

2201 SAN JUAN AVE, La Junta, CO 81050

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Other Identifiers 1

Other0992269-NPCO · Colorado State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VERNICE ANN R BAUTISTA P.A.-C

Physician Assistant