Healthcare Provider Details

I. General information

NPI: 1912037854
Provider Name (Legal Business Name): KIRSTIN J COX MSN APRN CPNP IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 E CALUMET ST STE 400-144
APPLETON WI
54915-4159
US

IV. Provider business mailing address

3825 E CALUMET ST STE 400-144
APPLETON WI
54915-4159
US

V. Phone/Fax

Practice location:
  • Phone: 720-290-6752
  • Fax:
Mailing address:
  • Phone: 720-290-6752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0110399
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRXN.0004079-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberC-RXN.0104488-C-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN.0003971-NP
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-12302
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberC-APN.0107029-C-NP
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number113723-30
License Number StateWI
# 8
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number18529-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: