NPI 1033724570 · live from the CMS NPI Registry
Children'S Urinary And Bowel Solutions Clinic And Consulting, LLC
Nurse Practitioner, Pediatrics in Castle Pines, CO. National Provider Identifier 1033724570, active.
NPI record
| NPI | 1033724570 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 7501 Village Square Dr Ste 207, Castle Pines, CO 80108 |
| Practice phone | 720-955-4465 |
| Mailing address | 10799 W Alameda Ave. Po Box 260758, Lakewood, CO 80226 |
| Enumerated | September 11, 2020 |
| Last updated | September 11, 2020 |
| Authorized official | Jennifer Mack, Owner |
| Other names | Cubs Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.