Individual
KATHLEEN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
743 HORIZON CT STE 100, GRAND JUNCTION, CO 81506-8715
(970) 241-7600
(970) 245-9094
Mailing address
612 MOSS WAY, PALISADE, CO 81526-9238
(970) 270-3694
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1000381-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
RN.0199454
CO
Other
Enumeration date
05/28/2024
Last updated
01/28/2025
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