Individual
MS. BETSY S. KASTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
810 E 3RD ST UNIT 301, DURANGO, CO 81301-5760
(970) 375-0100
Mailing address
724 ANIMAS VIEW DR, DURANGO, CO 81301-6972
(708) 828-2157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-263897
IL
363LP0200X
Pediatric Nurse Practitioner
209-005902
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0992013-NP
CO
Other
Enumeration date
05/20/2006
Last updated
02/04/2016
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