Provider Demographics
NPI:1538309687
Name:AUSTIN, KATJA S (FNP)
Entity Type:Individual
Prefix:
First Name:KATJA
Middle Name:S
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 N SHERMAN ST
Mailing Address - Street 2:SUITE #510
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4400
Mailing Address - Country:US
Mailing Address - Phone:303-336-8317
Mailing Address - Fax:303-336-8350
Practice Address - Street 1:455 N SHERMAN ST
Practice Address - Street 2:SUITE #510
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4400
Practice Address - Country:US
Practice Address - Phone:303-336-8317
Practice Address - Fax:303-336-8350
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO181628163W00000X
CONP-990129363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84180811Medicaid