Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 10326 | CO |
NPI | 1003126442 |
---|---|
Provider Name | Kristi Wharton Swim |
First Address | Aurora, CO 80040-0876 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2010 |
Last Update Date | 11/04/2012 |