Individual
KAREN C MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
305 CARPENTER RD, FORT COLLINS, CO 80525-4248
(970) 663-3500
(970) 292-0898
Mailing address
305 CARPENTER RD, FORT COLLINS, CO 80525-4248
(970) 663-3500
(970) 292-0898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
186858
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
186858
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186858
LICENSE - RN/NP, MEDICARE PENDING
CO
Enumeration date
12/18/2008
Last updated
06/25/2012
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