Individual
MRS. KATHLEEN ELIZABETH WACHUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
302 IRVINGTON CT, COLORADO SPRINGS, CO 80906-7980
(703) 314-3696
Mailing address
302 IRVINGTON CT, COLORADO SPRINGS, CO 80906-7980
(703) 314-3696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171663
VA
363LF0000X
Family Nurse Practitioner
AP61642672
WA
363LF0000X
Family Nurse Practitioner
APRN-1551
HI
363LF0000X
Family Nurse Practitioner
Primary
MSAPN.0000023-NP
CO
363LF0000X
Family Nurse Practitioner
NP1051890
DC
Other
Enumeration date
08/02/2013
Last updated
02/10/2026
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