Individual
KATHLEEN G DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4743 ARAPAHOE AVE STE 201, BOULDER, CO 80303-1128
(303) 442-2395
(303) 442-1073
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4751
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0127049
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0990807-NP
CO
Other
Enumeration date
12/11/2013
Last updated
03/10/2020
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