Provider Type Icon

MS. KIMBERLY MARIE WASSENAAR RT(R) RPA/RA NPI 1932399714


NPI Information

NPI: 1932399714
Provider Name: MS. KIMBERLY MARIE WASSENAAR, RT(R), RPA/RA
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
2821 WILLOW TREE LN
UNIT D
FORT COLLINS, CO
ZIP 80525
Phone: (970) 420-1679
Get Directions

MS. Kimberly Marie Wassenaar, RT(R), RPA/RA is a radiologic technologist in Fort Collins, CO. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. MS. Kimberly Marie Wassenaar, RT(R), RPA/RA NPI is 1932399714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2821 WILLOW TREE LN
UNIT D
FORT COLLINS, CO
ZIP 80525-785
Phone: (970) 420-1679

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247100000XRadiologic Technologist326783/07CO 1317COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.