Individual
MS. KATIE ANN WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2101 MAIN ST, LONGMONT, CO 80501-1406
(720) 745-8030
(720) 745-8031
Mailing address
2101 MAIN ST, LONGMONT, CO 80501-1406
(720) 745-8030
(720) 745-8031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0175182
CO
363L00000X
Nurse Practitioner
APN.0991914-NP
CO
363LF0000X
Family Nurse Practitioner
34182.1340
WY
363LF0000X
Family Nurse Practitioner
Primary
APN.0991914-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01730061
—
CO
Enumeration date
09/03/2014
Last updated
07/12/2021
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