Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 112678 | NE |
N | 363L00000X | Nurse Practitioner | APN.0996167-NP | CO |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 2013039402 | MO |
N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0996167-NP | CO |
NPI | 1033545009 |
---|---|
Provider Name | Ms. Jennifer B Attebery |
First Address | Loveland, CO 80538-8702 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2013 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033545009 | (05) | MO |