MEDICARE: MRS. AUBREY A BALMER NP-C, FNP

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
1	363LF0000X	Family Nurse Practitioner	0995203	CO

General Provider Information

NPI Number	:	1336494186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AUBREY A BALMER NP-C, FNP

Provider Business Mailing Address
First Line	:	433 SUMMIT BLVD UNIT 201
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8299
Country	:	US
Telephone Number	:	303-673-9090
Fax Number	:	303-673-9195

Provider Business Practice Location Address
First Line	:	433 SUMMIT BLVD UNIT 201
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8299
Country	:	US
Telephone Number	:	303-673-9090
Fax Number	:	303-673-9195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	12/30/2019

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