Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 0994738-NP | CO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 129123 | TX |
NPI | 1073985313 |
---|---|
Provider Name | Chrystal Hockaday |
First Address | Fort Collins, CO 80526-2378 |
Second Address | Greeley, CO 80631-5154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2015 |
Last Update Date | 28/01/2022 |