MEDICARE: MS. HELEN C NEWMAN RN

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	163WC1500X	Community Health Registered Nurse	104724	CO

General Provider Information

NPI Number	:	1205098514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELEN C NEWMAN RN

Provider Business Mailing Address
First Line	:	232 RUSTLING WILLOW STREET
Second Line	:	COMPLEX D
City	:	TOWAOC
State	:	CO
Zip	:	81334
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 RUSTLING WILLOW ST
Second Line	:	COMPLEX D
City	:	TOWAOC
State	:	CO
Zip	:	81334-0049
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	06/27/2008

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