Individual
MRS. KATHY L MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP, BC
Contact information
Practice address
630 SOUTHPOINTE CT STE 104, COLORADO SPRINGS, CO 80906
(719) 289-3173
Mailing address
630 SOUTHPOINTE CT STE 104, COLORADO SPRINGS, CO 80906-3800
(719) 289-3173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0000598-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579748YV8
—
CO
Enumeration date
01/20/2010
Last updated
06/02/2019
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