Katrina Raenae Staley, FNP-C
Nurse Practitioner, Family in Greeley, CO. Individual provider (NPI-1).
NPI number1891474151
StatusActive
Last updated in NPPESDec 24, 2023
Details
- NPI
- 1891474151
- Entity type
- Individual (NPI-1)
- Name
- Katrina Raenae Staley
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2023
- Certification date
- Dec 24, 2023
- Last updated
- Dec 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN.0998883-NP | CO | Yes |
Other names
- Katrina Raenae Karakas (Former Name)
Practice location
2928 W 10th StGreeley, CO 80634-5426
Phone 970-584-2100 · Fax 970-584-2101
Mailing address
1576 Clarendon DrWindsor, CO 80550-2681
Phone 801-388-6335
Other practice locations
1576 Clarendon Dr
Windsor, CO 80550-2681
Windsor, CO 80550-2681
Phone 801-388-6335
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