Individual
COLLEEN ANNE KILCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2101 KEN PRATT BLVD STE 104A, LONGMONT, CO 80501-6568
(303) 415-4155
(303) 776-3109
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-4155
(303) 776-3109
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0091467-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0091467
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97978353
—
CO
Enumeration date
03/20/2015
Last updated
09/30/2024
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