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COLORADO STATE UNIVERSITY PUEBLO
NPI 1467225730
Nurse Practitioner - Family in Pueblo, CO

Active since October 30, 2023
2200 BONFORTE BLVD # 172, PUEBLO, CO 81001(719) 549-2830(719) 549-2646 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colorado State University Pueblo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO STATE UNIVERSITY PUEBLO (NPI 1467225730) is a healthcare organization registered as a family in Pueblo, Colorado and active in the NPI registry since October 2023. The organization lists Carolyn Kay Daugherty, Assistant Dean, as its authorized official.

NPPES Registry Identity

NPI1467225730
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOLORADO STATE UNIVERSITY PUEBLO
Location Address2200 BONFORTE BLVD # 172Pueblo, CO 81001-4901
Mailing Address2200 Bonforte Blvd # 172Pueblo, CO 81001-4901 · (719) 549-2830 · Fax (719) 549-2646
Phone(719) 549-2830
Fax(719) 549-2646
Organization SubpartNo
Authorized OfficialCarolyn Kay DaughertyAssistant Dean · (719) 549-2830
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1467225730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2200 BONFORTE BLVD # 172, Pueblo, CO 81001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Reviews for COLORADO STATE UNIVERSITY PUEBLO

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Frequently Asked Questions

What is COLORADO STATE UNIVERSITY PUEBLO's NPI number?

The NPI number assigned to this healthcare provider is 1467225730, enumerated as an "organization" on October 30, 2023.

Where is the provider located?

The provider is located at 2200 BONFORTE BLVD # 172 PUEBLO, CO 81001 and the phone number is (719) 549-2830.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.