Provider Demographics
NPI:1952562498
Name:NUTTER, CECELIA (RN)
Entity Type:Individual
Prefix:MS
First Name:CECELIA
Middle Name:
Last Name:NUTTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HARTSHORN HEALTH SERVICES
Mailing Address - Street 2:COLORADO STATE UNIVERSITY CAMPUS
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80523-0001
Mailing Address - Country:US
Mailing Address - Phone:970-491-1704
Mailing Address - Fax:970-491-0268
Practice Address - Street 1:HARTSHORN HEALTH SERVICES
Practice Address - Street 2:COLORADO STATE UNIVERSITY CAMPUS
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-1704
Practice Address - Fax:970-491-0268
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104482163WC1400X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program