Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 119062 | CO |
NPI | 1851592976 |
---|---|
Provider Name | Valerie Elisabeth Exelby |
First Address | Fort Collins, CO 80525-5584 |
Second Address | Fort Collins, CO 80524-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93984715 | (05) | CO |