Basic Information
Provider Information
NPI: 1003215344
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JIRON-FINN
FirstName: PAULA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ACNP/FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7702
Address2:  
City: LOVELAND
State: CO
PostalCode: 805370702
CountryCode: US
TelephoneNumber: 9706632742
FaxNumber: 9706670847
Practice Location
Address1: 115 E RIVERWALK UNIT 200
Address2:  
City: PUEBLO
State: CO
PostalCode: 810033320
CountryCode: US
TelephoneNumber: 7195438346
FaxNumber: 7195451829
Other Information
ProviderEnumerationDate: 08/21/2014
LastUpdateDate: 09/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0990771COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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