Provider Demographics
NPI:1821633298
Name:KAMPA, COLLEEN DAWN (FNP-C)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:DAWN
Last Name:KAMPA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:DAWN
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2610 MEADOWS BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-7528
Mailing Address - Country:US
Mailing Address - Phone:720-480-7888
Mailing Address - Fax:
Practice Address - Street 1:2595 S LEWIS WAY STE A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-6555
Practice Address - Country:US
Practice Address - Phone:303-529-7957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-09
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0994908-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily