NPI 1144405739 · live from the CMS NPI Registry
Agape Family Practice, P.C.
Family Medicine in Grand Junction, CO. National Provider Identifier 1144405739, active.
NPI record
| NPI | 1144405739 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2139 N 12th St, Unit 4, Grand Junction, CO 81501 |
| Practice phone | 970-257-7116 |
| Enumerated | January 2, 2008 |
| Last updated | June 25, 2010 |
| Authorized official | Craig Severance, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 34092 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.