Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colorado State University Pueblo

Organization Family Nurse Practitioner · NPI 1467225730

Colorado State University Pueblo is a Family Nurse Practitioner 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