Individual
MRS. KATHLEEN JEANETTE FUNDALINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8369
(970) 495-7492
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 150, LOVELAND, CO 80538-8702
(970) 495-8369
(970) 495-7492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990530-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70331570
—
CO
Enumeration date
11/07/2012
Last updated
12/08/2015
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