Individual
MRS. KRISTEN M VANDENBERG-HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
137 HOWARD ST, EAGLE, CO 81631
(970) 328-6969
(970) 328-6329
Mailing address
4863 N NEVADA AVE, STE 250, COLORADO SPRINGS, CO 80918-3951
(970) 683-7107
(970) 255-3963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1617657
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
990504
CO
Other
Enumeration date
05/04/2010
Last updated
09/18/2021
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