Provider Demographics
NPI:1780267237
Name:SIMONSON, KRISTIN (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SIMONSON
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1364
Mailing Address - Country:US
Mailing Address - Phone:970-215-8103
Mailing Address - Fax:
Practice Address - Street 1:1258 S PEARL ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1538
Practice Address - Country:US
Practice Address - Phone:303-393-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996457-NP363LW0102X
COAPN.0996480-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife