Organization
COLORADO STATE UNIVERSITY PUEBLO
Active
Other names
Wolfpack Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN KAY DAUGHERTY FNP-BC (ASSISTANT DEAN)
(719) 549-2830
Entity
Organization
Contact information
Practice address
2200 BONFORTE BLVD # 172, PUEBLO, CO 81001-4901
(719) 549-2830
(719) 549-2646
Mailing address
2200 BONFORTE BLVD # 172, PUEBLO, CO 81001-4901
(719) 549-2830
(719) 549-2646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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