Healthcare Provider Details

I. General information

NPI: 1295720142
Provider Name (Legal Business Name): CATHLEEN 'KATE' ERRETT CERTIFIED NURSE PRAC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 RIVERGATE SUITE 210
DURANGO CO
81301-7487
US

IV. Provider business mailing address

132 EL DIENTE DR
DURANGO CO
81301-9002
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-0042
  • Fax: 970-259-8837
Mailing address:
  • Phone: 970-382-0398
  • Fax: 970-382-0398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number60153
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberR30520
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: