Individual
KATELYN NICHOLE MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
4672 W 20TH STREET RD UNIT 2224, GREELEY, CO 80634-8401
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.1636216
CO
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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