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

Pediatric Telehealth of Colorado Inc

Organization Pediatric Nurse Practitioner · NPI 1083312912

Pediatric Telehealth of Colorado Inc provides Pediatric Nurse Practitioner services in Pueblo, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

356 S McCulloch Blvd Ste 106
Pueblo, CO 81007-2848
Phone: (719) 251-2186
Fax: (833) 941-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1083312912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Douglas — Pediatric Nurse Practitioner · (719) 251-2186
NPI enumeratedFebruary 20, 2023
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address930 S Cayuga Dr, Pueblo, CO 81007-1935

Other providers in Pueblo