Healthcare Provider Details

I. General information

NPI: 1174452536
Provider Name (Legal Business Name): OCEA SKYHORSE TRUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 SNOW CAP LN
DURANGO CO
81303-3611
US

IV. Provider business mailing address

93 SNOW CAP LN
DURANGO CO
81303-3611
US

V. Phone/Fax

Practice location:
  • Phone: 970-799-0044
  • Fax:
Mailing address:
  • Phone: 970-799-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SS0200X
TaxonomySchool Clinical Nurse Specialist
License Number0190221
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: