| Lori Ptak, | |
|
11115 W Highway 24, Unit 2c, Divide, CO 80814 | |
| (719) 687-6416 | |
| (719) 687-6501 |
| Full Name | Lori Ptak |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 11115 W Highway 24, Divide, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508372152 | NPI | - | NPPES |
| 04540548 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.1641286 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Ptak, 11115 W. Highway 24, Unit 2c, Divide, CO 80814 Ph: (719) 687-6416 | Lori Ptak, 11115 W Highway 24, Unit 2c, Divide, CO 80814 Ph: (719) 687-6416 |
Veranique Nodine, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11115 W Hwy 24, Unit 2c, Divide, CO 80814 Phone: 719-687-6416 | |
Mrs. Miranda Jo David, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11505 W. Hwy. 24, Divide, CO 80814 Phone: 719-687-6416 | |
Cheryl Maniak, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814 Phone: 719-687-6416 Fax: 719-687-6416 | |
Kimberly Newcom, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814 Phone: 719-687-6416 | |
Mrs. Lorraine Agold-rich, RN, BSN, CRRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11505 Hwy. 24, Divide, CO 80814 Phone: 719-687-6416 | |
Norie Kirtley, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11115 W. Hwy 24, Unit 2c, Divide, CO 80814 Phone: 719-687-6416 Fax: 719-687-6501 | |
Karissa Smith, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11115 West Highway 24, Unit 2c, Divide, CO 80814 Phone: 719-687-6416 Fax: 719-687-6501 |