Individual
MRS. KATELYN EMILY RUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., NNP-BC
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8280
Mailing address
9003 19TH STREET RD, GREELEY, CO 80634-5754
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN.1636289
CO
363LN0000X
Neonatal Nurse Practitioner
Primary
C-RXN.0101584-C-NP
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
214828
OK
Other
Enumeration date
05/18/2023
Last updated
06/13/2024
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