Individual
MRS. KRISTA MARIE WILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
10103 RIDGEGATE PKWY STE G21, LONE TREE, CO 80124-5524
(303) 792-5200
Mailing address
9313 W RADCLIFFE PL, LITTLETON, CO 80123-1196
(859) 475-3237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
09983579-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993579-NP
COLORADO SATE BOARD OF NURSING NURSE PRACTITIONER-APN LICENSE NUMBER
CO
01
—
1640585
COLORADO STATE BOARD OF NURSING RN LICENSE NUMBER
CO
01
—
F10170783
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER
—
Enumeration date
12/23/2017
Last updated
12/23/2017
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