Provider Demographics
NPI:1467282657
Name:KUTZ, CATHERINE MOORE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MOORE
Last Name:KUTZ
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7190 COLORADO BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1847
Mailing Address - Country:US
Mailing Address - Phone:303-289-1086
Mailing Address - Fax:
Practice Address - Street 1:7190 COLORADO BLVD STE 450
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1847
Practice Address - Country:US
Practice Address - Phone:303-289-1086
Practice Address - Fax:303-289-7378
Is Sole Proprietor?:No
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000019-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics