NPI 1689141871

Kristen Werner

Practitioner Prevention Professional Fairplay, CO

Practice location

Address: 540 Front Street, Fairplay, CO 80440-8044
Phone: (719) 836-1833
Mailing address: PO Box 266, Fairplay, CO 80440-0266

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence MT.0015206 (CO)

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Registry record

NPI: 1689141871
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2018
Record last updated: 26 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.