Basic Information
| Provider Information | |||||||||
| NPI: | 1184259178 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KROHN | ||||||||
| FirstName: | HEATHER | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21555 E CRESTLINE DR | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800153591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203181516 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19711 E SMOKY HILL RD | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800155194 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034595634 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2020 | ||||||||
| LastUpdateDate: | 11/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 0192460 | CO | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 0995784 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.