Healthcare Provider Details

I. General information

NPI: 1881815827
Provider Name (Legal Business Name): KATHRYN SLIKER MARCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN C SLIKER

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 BROADWAY ST
BOULDER CO
80304-1824
US

IV. Provider business mailing address

3450 BROADWAY ST
BOULDER CO
80304-1824
US

V. Phone/Fax

Practice location:
  • Phone: 303-441-1100
  • Fax:
Mailing address:
  • Phone: 303-441-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number123036
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number123036
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number123036
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: