Individual
KIMBERLY FERRIS MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8990 N WASHINGTON ST, THORNTON, CO 80229-4537
(720) 929-1655
Mailing address
1345 PLAZA CT N STE 1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104901
CO
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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