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NPI Code Detail

MEDICARE: LINDA MARIE BRETEY NP

MEDICARE: LINDA MARIE BRETEY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse Practitioner75905CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336145655
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARIE BRETEY NP
Provider Business Mailing Address
First Line : 2635 N 7TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8209
Country : US
Telephone Number : 970-298-2273
Fax Number : 970-255-1809
Provider Business Practice Location Address
First Line : 2635 N 7TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8209
Country : US
Telephone Number : 970-298-2273
Fax Number : 970-255-1809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 09/26/2011

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