Doctor Name: | MRS. ONNA KLOOSTER |
NPI Number: | 1013387851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0991629 |
Business Practice Address: | 8510 Bryant St 200 Westminster, CO - 800313844 |
Business Phone Number: | 3034305560 |
Business Fax Number: | 3034305565 |
Mailing Address: | 8510 Bryant St, 200 WESTMINSTER |
State: | CO |
Postal Code: | 800313844 |
Phone Number: | 3034305560 |
Fax Number: | 3034305565 |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 0991629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |