Individual
KYLA PATAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0998196-NP
CO
363LC0200X
Critical Care Medicine Nurse Practitioner
0998196-NP
CO
Other
Enumeration date
11/04/2022
Last updated
02/16/2023
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