Provider Demographics
NPI:1538312822
Name:KOHRING, LAURIE (PNP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:KOHRING
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:SILBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:CO
Mailing Address - Zip Code:80117-0201
Mailing Address - Country:US
Mailing Address - Phone:720-815-8811
Mailing Address - Fax:
Practice Address - Street 1:75 UTE AVE
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:CO
Practice Address - Zip Code:80117-9367
Practice Address - Country:US
Practice Address - Phone:720-815-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0005896-NP363LP0200X
CO128024363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11331348Medicaid