Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 76536 | KS |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0991333-NP | CO |
NPI | 1003210253 |
---|---|
Provider Name | Whitney Staats |
First Address | Thornton, CO 80260-6806 |
Second Address | Thornton, CO 80260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2014 |
Last Update Date | 12/06/2018 |