Basic Information
| Provider Information | |||||||||
| NPI: | 1871900308 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHULTE | ||||||||
| FirstName: | KERRY | ||||||||
| MiddleName: | QUINN | ||||||||
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| Credential: | RN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7951 E. MAPLEWOOD AVENUE SUITE 300 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112882 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039307800 | ||||||||
| FaxNumber: | 3039307860 | ||||||||
| Practice Location | |||||||||
| Address1: | 8820 HURON STREET | ||||||||
| Address2: | |||||||||
| City: | THORNTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802606805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033867622 | ||||||||
| FaxNumber: | 3039305552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2014 | ||||||||
| LastUpdateDate: | 02/01/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APN.0992820-NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 33175098 | 05 | CO | MEDICAID |