MEDICARE: MS. CATHLEEN 'KATE' ERRETT CERTIFIED NURSE PRAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	60153	CO
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	R30520	NM

General Provider Information

NPI Number	:	1295720142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATHLEEN 'KATE' ERRETT CERTIFIED NURSE PRAC

Provider Business Mailing Address
First Line	:	132 EL DIENTE DR
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-9002
Country	:	US
Telephone Number	:	970-382-0398
Fax Number	:	970-382-0398

Provider Business Practice Location Address
First Line	:	575 RIVERGATE
Second Line	:	SUITE 210
City	:	DURANGO
State	:	CO
Zip	:	81301-7487
Country	:	US
Telephone Number	:	970-247-0042
Fax Number	:	970-259-8837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	07/08/2007

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