Individual
KYRIE NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 718-0954
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8242
(720) 494-3176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-174381
AL
163W00000X
Registered Nurse
RN.1684177
CO
363L00000X
Nurse Practitioner
APN.0997875-NP
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
APN.0997875-NP
CO
Other
Enumeration date
04/06/2020
Last updated
07/09/2025
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