Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN.0990230-NP | CO |
NPI | 1023356664 |
---|---|
Provider Name | Kathryn Brecht |
First Address | Denver, CO 80212-2007 |
Second Address | Denver, CO 80218-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2013 |
Last Update Date | 16/01/2013 |