Individual
LARISSA KAYE KREUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1355 RIVERSIDE AVE STE D, FORT COLLINS, CO 80524-4366
(970) 508-8439
Mailing address
37254 COUNTY ROAD 16, ROGGEN, CO 80652-9425
(720) 251-1126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1000133-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
1000133-NP
CO
Other
Enumeration date
09/19/2024
Last updated
10/02/2024
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