Individual
KATY LYNN FANGMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APRN, NNP-BC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
3001 SOMBRERO LN, FORT COLLINS, CO 80525-2463
(314) 560-0749
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APN.0995681-NP
CO
Other
Enumeration date
07/02/2020
Last updated
07/13/2020
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