Healthcare Provider Details

I. General information

NPI: 1407272776
Provider Name (Legal Business Name): KATHERINE BUTCHER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 W COLFAX AVE STE B200
LAKEWOOD CO
80215-3736
US

IV. Provider business mailing address

12600 W COLFAX AVE STE B200
LAKEWOOD CO
80215-3736
US

V. Phone/Fax

Practice location:
  • Phone: 720-923-1250
  • Fax: 303-284-4082
Mailing address:
  • Phone: 720-923-1250
  • Fax: 303-284-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number991095
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: