Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Family Medicine, Ltd

Organization Family Nurse Practitioner · NPI 1255865713

Ideal Family Medicine, Ltd provides Family Nurse Practitioner services in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2017.

Licensed in
CO
In the registry since
2017
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 Lake Ave
Pueblo, CO 81004-3322
Phone: (719) 582-1489
Fax: (719) 434-9807
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0992962 (CO)

Record details

NPI number1255865713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jade Bryant — Owner · (719) 582-1489
NPI enumeratedApril 11, 2017
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address19 E Abarr Dr # 200, Pueblo, CO 81007-5436

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