Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

County Line Health Clinic

Organization Family Nurse Practitioner · NPI 1124795836

County Line Health Clinic provides Family Nurse Practitioner services in Wiley, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

36053 US Highway 287
Wiley, CO 81092-9702
Phone: (719) 688-9962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1124795836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelby Casper — Owner · (719) 688-9962
NPI enumeratedAugust 30, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address36053 Us Highway 287, Wiley, CO 81092-9702

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