Provider Demographics
NPI:1467013011
Name:KIRKPATRICK, KRISTEN NOEL (ANP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NOEL
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 LUTHERAN PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6036
Mailing Address - Country:US
Mailing Address - Phone:303-940-1661
Mailing Address - Fax:303-431-8708
Practice Address - Street 1:3555 LUTHERAN PKWY STE 150
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6036
Practice Address - Country:US
Practice Address - Phone:303-940-1661
Practice Address - Fax:303-403-8763
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994721-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0994721-NPOtherLICENSE