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

Soco Primary Care Clinic

Organization Adult Health Nurse Practitioner · NPI 1124677729

Soco Primary Care Clinic is an Adult Health Nurse Practitioner in Pueblo, Colorado. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1310 Fortino Blvd Ste D
Pueblo, CO 81008-2076
Phone: (719) 582-1898
Fax: (719) 621-4098
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1124677729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Betts — President, Authorized Official · (719) 582-1898
NPI enumeratedSeptember 6, 2019
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing address1310 Fortino Blvd, Pueblo, CO 81008-2075

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