Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 041410710 | IL |
Y | 363LA2100X | Nurse Practitioner - Acute Care | C-APN.0002755-C-NP | CO |
NPI | 1043658370 |
---|---|
Provider Name | Noelle M Durall |
First Address | Fort Collins, CO 80528-3402 |
Second Address | Fort Collins, CO 80528-3402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2013 |
Last Update Date | 04/06/2021 |