Basic Information
| Provider Information | |||||||||
| NPI: | 1952562498 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NUTTER | ||||||||
| FirstName: | CECELIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | HARTSHORN HEALTH SERVICES | ||||||||
| Address2: | COLORADO STATE UNIVERSITY CAMPUS | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805230001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704911704 | ||||||||
| FaxNumber: | 9704910268 | ||||||||
| Practice Location | |||||||||
| Address1: | HARTSHORN HEALTH SERVICES | ||||||||
| Address2: | COLORADO STATE UNIVERSITY CAMPUS | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805230001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704911704 | ||||||||
| FaxNumber: | 9704910268 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2008 | ||||||||
| LastUpdateDate: | 06/18/2008 | ||||||||
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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 | 163WC1400X | 104482 | CO | Y | Nursing Service Providers | Registered Nurse | College Health | 390200000X | 104482 | CO | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.