Provider Demographics
NPI:1285360735
Name:KURTZ, EMILY (APRN, FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KURTZ
Suffix:
Gender:F
Credentials:APRN, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 WINONA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1139
Mailing Address - Country:US
Mailing Address - Phone:704-500-8787
Mailing Address - Fax:
Practice Address - Street 1:6981 E BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237
Practice Address - Country:US
Practice Address - Phone:303-350-9065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997703-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0997703-NPOtherCO APRN LICENSE