Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 09951535 | CO |
NPI | 1033749353 |
---|---|
Provider Name | Taylor Martindell |
First Address | Loveland, CO 80538-9071 |
Second Address | Colorado Springs, CO 80909-5533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2020 |
Last Update Date | 24/02/2021 |