Healthcare Provider Details

I. General information

NPI: 1558080895
Provider Name (Legal Business Name): KATARINA SMOLKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD # F-12
DENVER CO
80221-8926
US

IV. Provider business mailing address

2025 NELSON ST
LAKEWOOD CO
80215-1331
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-3558
  • Fax: 303-964-5406
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997742-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: