Healthcare Provider Details

I. General information

NPI: 1447966981
Provider Name (Legal Business Name): TELISA D ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 COLORADO AVE
DOVE CREEK CO
81324-5191
US

IV. Provider business mailing address

PO BOX 374
DOVE CREEK CO
81324-0374
US

V. Phone/Fax

Practice location:
  • Phone: 970-317-3594
  • Fax: 270-203-0587
Mailing address:
  • Phone: 970-317-3594
  • Fax: 270-203-0587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: