Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | APN.0994606-NP | CO |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN.0994606-NP | CO |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN.0994606-NP | CO |
NPI | 1033672597 |
---|---|
Provider Name | Krystina Enriquez |
First Address | Golden, CO 80403-7445 |
Second Address | Golden, CO 80403-7445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2019 |
Last Update Date | 11/06/2019 |