Kimberly Sue Ottolenghi, CPNP is a
Nurse Practitioner based in Ft. Collins, Colorado. Kimberly Sue Ottolenghi is licensed to practice in Colorado (license number 107622) and her current practice location is
2001 S Shields, Bldg G, Ft. Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 484-4871.
NPI number for Kimberly Sue Ottolenghi is 1720086200 and her current mailing address is 2001 S Shields, Bldg G, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720086200.
Provider's Profile
| Full Name | Kimberly Sue Ottolenghi |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 2001 S Shields, Ft. Collins, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720086200
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 06/11/2010
Medical Identifiers
Medical identifiers for Kimberly Sue Ottolenghi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720086200 | NPI | - | NPPES |
| 77129849 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 2899 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 107622 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Sue Ottolenghi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Sue Ottolenghi, CPNP
2001 S Shields, Bldg G,
Fort Collins, CO 80526
Ph: (970) 484-4871 | Kimberly Sue Ottolenghi, CPNP
2001 S Shields, Bldg G,
Ft. Collins, CO 80526
Ph: (970) 484-4871 |
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