Provider Demographics
NPI:1497228779
Name:ZOELLE, KRISTIN (NP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:ZOELLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9397 CROWN CREST BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8788
Mailing Address - Country:US
Mailing Address - Phone:303-699-6200
Mailing Address - Fax:303-766-6903
Practice Address - Street 1:9397 CROWN CREST BLVD STE 330
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8788
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:303-766-6903
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0994072-NP208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics