Individual
KATELYN DAKOTA JAE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13445 VOYAGER PKWY, COLORADO SPRINGS, CO 80921-7648
(719) 365-3220
(719) 365-7680
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2420
(970) 652-2928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28216991A
IN
363L00000X
Nurse Practitioner
71009146A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009146A
IN
Other
Enumeration date
06/27/2019
Last updated
01/24/2023
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