Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 118 | CO |
NPI | 1013283241 |
---|---|
Provider Name | Monica A Flynn |
First Address | Akron, CO 80720-9646 |
Second Address | Pueblo, CO 81001-1379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 11/11/2016 |