Healthcare Provider Details

I. General information

NPI: 1932998036
Provider Name (Legal Business Name): HEATHER NICOLE HOTZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER NICOLE HOLMES

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N CASCADE AVE
MONTROSE CO
81401-3537
US

IV. Provider business mailing address

300 N CASCADE AVE STE A
MONTROSE CO
81401-3537
US

V. Phone/Fax

Practice location:
  • Phone: 970-252-3200
  • Fax:
Mailing address:
  • Phone: 970-335-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1679569
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: