Individual
RAJANI KOLLIKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS, RN, PMHNP
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NA.00735584
CO
163W00000X
Registered Nurse
RN.1622076
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
995143
CO
Other
Enumeration date
11/20/2013
Last updated
10/18/2022
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