Provider Demographics
NPI:1053344408
Name:WOMENS WELLNESS CENTER OF THE ROCKIES LLP
Entity type:Organization
Organization Name:WOMENS WELLNESS CENTER OF THE ROCKIES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRUNK
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:970-353-6000
Mailing Address - Street 1:8223 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3036
Mailing Address - Country:US
Mailing Address - Phone:970-353-6000
Mailing Address - Fax:970-353-6001
Practice Address - Street 1:8223 W 20TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3036
Practice Address - Country:US
Practice Address - Phone:970-353-6000
Practice Address - Fax:970-353-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty