Individual
KATHRYN ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BRODIE AVE, ESTES PARK, CO 80517-7486
(970) 577-2054
Mailing address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 577-2054
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0069054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069054
RN LICENSE
CO
Enumeration date
11/14/2016
Last updated
11/14/2016
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