Individual
KIMBERLY WENNINGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
10761 CLAIRE LN, NORTHGLENN, CO 80234-3730
(520) 228-1511
Mailing address
10761 CLAIRE LN, NORTHGLENN, CO 80234-3730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018008059
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0997010-NP
COLORADO NP LICENSING
CO
Enumeration date
07/19/2018
Last updated
07/23/2024
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