Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | C-APN.0003337C-NP | CO |
N | 363L00000X | Nurse Practitioner | C-APN.0003337C-NP | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP129377 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | C-APN.0003337C-NP | CO |
NPI | 1134599988 |
---|---|
Provider Name | Kristen Hitz Shults |
First Address | Colorado Springs, CO 80922-2235 |
Second Address | Pampa, TX 79065-2823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 19/01/2022 |