Individual
KATHLEEN SUSAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, NORTH MOB, SUITE 150, LOVELAND, CO 80538-9004
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3960
(970) 493-7442
(970) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
808872
CA
367A00000X
Advanced Practice Midwife
1987
CA
367A00000X
Advanced Practice Midwife
813
NM
367A00000X
Advanced Practice Midwife
846113
NV
367A00000X
Advanced Practice Midwife
Primary
APN.0992524-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6652247
—
NM
05
—
9000146136
—
CO
Enumeration date
05/15/2012
Last updated
09/21/2022
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