Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 99661 | CO |
NPI | 1336170117 |
---|---|
Provider Name | Ms. Kristen Marie Whitted |
First Address | Littleton, CO 80120-4427 |
Second Address | Littleton, CO 80120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08128812 | (05) | CO |
Q71338 | (02) | CO |