Overview
Name: COUNTY LINE HEALTH CLINIC
Specialty: Family Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: COUNTY LINE HEALTH CLINIC,36053 US HIGHWAY 287,WILEY,CO,810929702,US
Mailing Address: COUNTY LINE HEALTH CLINIC,36053 US HIGHWAY 287,WILEY,CO,810929702,US
Contact #
Practice location phone #: 7196889962
Practice location fax #:
Mailing address Phone #:
Mailing Address fax #:
Authorized official Name/Telephone #:SHELBY, CASPER, MSN-FNP, OWNER 7196889962
Misc
Date NPI was obtained: 08/30/2021
Last data data was updated: 12/09/2021
Insurances: