Individual
KATHRYN ANN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 S MCCASLIN BLVD STE 210, SUPERIOR, CO 80027-9701
(303) 993-7910
Mailing address
656 ALBION ST, DENVER, CO 80220-4918
(210) 268-2630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1665636
CO
163W00000X
Registered Nurse
936551
TX
363LF0000X
Family Nurse Practitioner
Primary
0998399
CO
363LF0000X
Family Nurse Practitioner
1114503
TX
Other
Enumeration date
04/06/2023
Last updated
05/31/2023
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