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NPI Code Detail

MEDICARE: KRISTY DALTON

MEDICARE: KRISTY DALTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN.1693070CO

General Provider Information

NPI Number : 1649113358
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY DALTON
Provider Business Mailing Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4376
Fax Number : 719-583-4375
Provider Business Practice Location Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4376
Fax Number : 719-583-4375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ KRISTY DALTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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