Provider Demographics
NPI:1063956878
Name:BALLOU, KARI FITZPATRICK (MSN, RN, CNOR)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:FITZPATRICK
Last Name:BALLOU
Suffix:
Gender:F
Credentials:MSN, RN, CNOR
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:2170 S PARKER RD
Mailing Address - Street 2:#400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5734
Mailing Address - Country:US
Mailing Address - Phone:303-755-6304
Mailing Address - Fax:
Practice Address - Street 1:2170 S PARKER RD
Practice Address - Street 2:#400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5734
Practice Address - Country:US
Practice Address - Phone:303-755-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0130773364SI0800X, 364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative
No364SI0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistInformatics