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MS. KATHY ANN LOEFFLER NURSE PRACTITIONER

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1407862386

Individual Registrant:
MS. KATHY ANN LOEFFLER NURSE PRACTITIONER
Gender: F
Not Sole Proprietor

Location and contact information for practice:
129 KANSAS AVE  WALSENBURG, CO 81089-1818 US
Tel: 719-738-2718  Fax: 719-738-2732

Contact information for business:
23500 US HIGHWAY 160  WALSENBURG, CO 81089-9524 US
Tel: 719-738-5144  Fax: 719-738-5138

Registration Information:
NPI: 1407862386
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO125142

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
36238201CO05




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