Individual
KATHRYN JEAN VAN IDERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
PEAK 1 AVE, SUMMIT COUNTY RD 1005, FRISCO, CO 80443-5948
(970) 668-9713
Mailing address
360 PEAK ONE DR # 230, FRISCO, CO 80443-5948
(970) 668-9713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1664161
CO
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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