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General NPI Number Information
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NPI Number | 1992317895
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Entity Type | Individual
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Provider Name | VICTORIA KRETCHE-KITCHEL DNP, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 14296 LL 11TH
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City | BLANCA
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State | CO
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Zip | 81123
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Country | US
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Telephone | 719-469-2076
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Fax |
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Provider Business Mailing Address
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Address Line | POB 247 14296 LL 11TH
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City | BLANCA
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State | CO
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Zip | 81123
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Country | US
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Telephone | 719-469-2076
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ANP.1000439-NP
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License Number State | CO
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