Individual
KATHERINE R DEROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 924-8448
(719) 924-9382
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 924-8448
(719) 924-9382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993238-NP
CO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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