Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 0990432 | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0990432-NP | CO |
NPI | 1003177247 |
---|---|
Provider Name | Kristy F Connor |
First Address | Denver, CO 80247-1314 |
Second Address | Lafayette, CO 80026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 14/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026842 | KAISER COMMERCIAL NUMBER (01) | CO |
60085517 | (05) | CO |