Individual
MRS. KATIE ANNE HALVERSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4450 ARAPAHOE AVE, BOULDER, CO 80303-9123
(877) 593-2454
Mailing address
9247 W 87TH PL, ARVADA, CO 80005-1243
(720) 277-6901
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0198832
CO
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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