Individual
KIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7410 FRASER CIR, FREDERICK, CO 80530-7147
(303) 717-6934
Mailing address
7410 FRASER CIR, FREDERICK, CO 80530-7147
(303) 717-6934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0997491
CO
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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