Provider Demographics
NPI:1306610746
Name:REGION 10 NURSE FAMILY PARTNERSHIP
Entity type:Organization
Organization Name:REGION 10 NURSE FAMILY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE AIDE
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ-ERIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-252-5056
Mailing Address - Street 1:1845 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5448
Mailing Address - Country:US
Mailing Address - Phone:970-252-5056
Mailing Address - Fax:970-964-2492
Practice Address - Street 1:1845 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5448
Practice Address - Country:US
Practice Address - Phone:970-252-5056
Practice Address - Fax:970-964-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04540415Medicaid