| Mr Paul Wertz, RN-BSN | |
| 
					233 Main Street, Suite C., San Luis, CO 81152-8115  | |
| (719) 672-3465 | |
| Not Available | 
| Full Name | Mr Paul Wertz | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse | 
| Location | 233 Main Street, Suite C., San Luis, Colorado | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558877290 | NPI | - | NPPES | 
| 9000190429 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1616934 (Colorado) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Paul Wertz, RN-BSN Po Box 99, San Luis, CO 81152-0099 Ph: (719) 672-3465  | Mr Paul Wertz, RN-BSN 233 Main Street, Suite C., San Luis, CO 81152-8115 Ph: (719) 672-3465  | 
Vivian B Gallegos, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Main Street, Suite C, San Luis, CO 81152 Phone: 719-672-3332 Fax: 719-672-3856  | |
Maryanne Martinez, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Main Street, Suite C, San Luis, CO 81152 Phone: 719-672-3332 Fax: 719-672-3856  | |
Carrie Ann Mondragon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 613 Main Street, San Luis, CO 81152 Phone: 719-588-2551  | |
Anatniuq Gonzales, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Po Box 99, San Luis, CO 81152 Phone: 719-672-3332 Fax: 719-672-3856  |