Individual
KATHRYN MARGRET DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Mailing address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
85753
CO
363LF0000X
Family Nurse Practitioner
20039.0746
WY
363LF0000X
Family Nurse Practitioner
Primary
2567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83571230
—
CO
Enumeration date
04/04/2012
Last updated
06/12/2014
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