Individual
KARIN IRENE LUISA GALLUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 949-7989
Mailing address
777 BANNOCK ST # MC3240, DENVER, CO 80204-4507
(303) 602-6700
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
109012
CO
363LF0000X
Family Nurse Practitioner
0996038
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0996038
CO
Other
Enumeration date
03/10/2020
Last updated
05/12/2024
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