Provider Demographics
NPI:1093413445
Name:KITTLER, TEIGHLER (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:TEIGHLER
Middle Name:
Last Name:KITTLER
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 E 144TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9210
Mailing Address - Country:US
Mailing Address - Phone:720-893-5000
Mailing Address - Fax:720-792-5001
Practice Address - Street 1:805 E 144TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80023-9210
Practice Address - Country:US
Practice Address - Phone:720-893-5000
Practice Address - Fax:720-792-5001
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0107556-NP363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health