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Search › Colorado › 164W00000X

Derek Chisholm, LPN

NPI 1285710467 · on the registry since 2006

Practice

Address
875 W Moreno Ave
Colorado Springs, CO 80905
Phone
(719) 572-6200
Fax
(719) 572-6427
Organisation at this address
Diversus Health Inc
Diversus Health Inc
Diversus Health Inc
Genoa Healthcare Llc
Peak Vista Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
158

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado