Kathy Adam, RN

Individual provider Active NPI Emergency Registered Nurse · Westminster, CO

NPI 1255855003 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1255855003
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
0112555 (CO)
Practice address
7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone
(303) 925-4420
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0112555COMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 0112555 CO Yes

Addresses

Primary practice location

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Mailing address

3118 Stevens Cir S
Erie, CO 80516-7587
Phone (720) 838-1859

Other providers in Westminster, CO

All providers in Westminster, CO · Emergency Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.