Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN.0996886-NP | CO |
NPI | 1083373633 |
---|---|
Provider Name | Katharine Elizabeth Gellish |
First Address | Arvada, CO 80003-1928 |
Second Address | Littleton, CO 80123-3084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2021 |
Last Update Date | 10/02/2022 |