Healthcare Provider Details

I. General information

NPI: 1902819212
Provider Name (Legal Business Name): JUDY M. ESKELSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDY M. ESKELSON RXN, NP

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

IV. Provider business mailing address

100 PIONEERS MEDICAL CENTER DR
MEEKER CO
81641-3181
US

V. Phone/Fax

Practice location:
  • Phone: 970-878-3226
  • Fax: 970-878-3391
Mailing address:
  • Phone: 970-878-5047
  • Fax: 970-878-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number412
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number44895
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: