| Doctor Name: | MRS. KIMBERLY A SPANGRUDE |
| NPI Number: | 1013986710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | C-APN.0991964-C-NP |
| Business Practice Address: | 308 Main Street River Valley Family Health Center Olathe, CO - 814250529 |
| Business Phone Number: | 9703236141 |
| Business Fax Number: | 9703236117 |
| Mailing Address: | 2233 E. Main St., Business Options Medical Billing MONTROSE |
| State: | CO |
| Postal Code: | 814013831 |
| Phone Number: | 9707650810 |
| Fax Number: | 9704978410 |
| NPI Enumeration Date: | 03/15/2006 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | C-APN.0991964-C-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |