Provider Demographics
NPI:1992317895
Name:KRETCHE-KITCHEL, VICTORIA (DNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:KRETCHE-KITCHEL
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 247
Mailing Address - Street 2:14296 LL 11TH
Mailing Address - City:BLANCA
Mailing Address - State:CO
Mailing Address - Zip Code:81123
Mailing Address - Country:US
Mailing Address - Phone:719-469-2076
Mailing Address - Fax:
Practice Address - Street 1:14296 LL 11TH
Practice Address - Street 2:
Practice Address - City:BLANCA
Practice Address - State:CO
Practice Address - Zip Code:81123
Practice Address - Country:US
Practice Address - Phone:719-469-2076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COANP.1000439-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.1000439-NPOtherCOLORADO STATE BOARD OF NURSING
CORXN.0109482-NPOtherCOLORADO STATE BOARD OF NURSING
CO111727OtherCOLORADO STATE BOARD OF NURSING