Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 161275 | CO |
NPI | 1164656690 |
---|---|
Provider Name | Mrs. Julieta Del Carmen Saldivar |
First Address | Colorado Springs, CO 80926-9300 |
Second Address | Colorado Springs, CO 80909-5533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 12/05/2009 |