COLORADO STATE UNIVERSITY PUEBLO NPI 1467225730

NPI Information

  • NPI: 1467225730
  • Provider Name: COLORADO STATE UNIVERSITY PUEBLO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2200 BONFORTE BLVD # 172
    PUEBLO, CO
    ZIP 81001
  • Phone: (719) 549-2830

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NPI Details

COLORADO STATE UNIVERSITY PUEBLO is a family nurse practitioner in Pueblo, CO. COLORADO STATE UNIVERSITY PUEBLO NPI is 1467225730. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 BONFORTE BLVD # 172
PUEBLO, CO
ZIP 81001-901
Phone: (719) 549-2830
Fax: (719) 549-2646

The provider's authorized official is Carolyn Kay Daugherty .
The authorized official title is Assistant Dean and has the following contact phone number (719) 549-2830.

The enumeration date for this NPI number is 10/30/2023 and was last updated on 10/30/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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