Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colorado State University Pueblo

Organization Family Nurse Practitioner · NPI 1467225730

Colorado State University Pueblo provides Family Nurse Practitioner services in Pueblo, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2200 Bonforte Blvd # 172
Pueblo, CO 81001-4901
Phone: (719) 549-2830
Fax: (719) 549-2646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1467225730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Daugherty — Assistant Dean · (719) 549-2830
Other names Wolfpack Wellness Center
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address2200 Bonforte Blvd # 172, Pueblo, CO 81001-4901

Other providers in Pueblo