Individual
MRS. KATI JO FOECHTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,AGACNP, FNP
Contact information
Practice address
1600 N GRAND AVE, SUITE 140, PUEBLO, CO 81003-2700
(719) 564-1542
Mailing address
1600 N GRAND AVE, SUITE 140, PUEBLO, CO 81003-2700
(719) 564-1542
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0991482-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0991482-NP
CO
Other
Enumeration date
11/03/2014
Last updated
06/29/2016
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