Provider Demographics
NPI:1609032184
Name:MCLAUGHLAN, KATHY (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:MCLAUGHLAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 E 41ST ST
Mailing Address - Street 2:NONE
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-222-3904
Mailing Address - Fax:
Practice Address - Street 1:2400 S PEORIA ST
Practice Address - Street 2:100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5476
Practice Address - Country:US
Practice Address - Phone:303-306-4321
Practice Address - Fax:303-306-4347
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3727363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00784621OtherRR MEDICARE
SCNP1313Medicaid
SCNP1313Medicaid
SCAA34493640Medicare PIN