Fugate, Courtney

Fugate, Courtney is an individual health care provider with primary practice located at 1301 E 7Th St , Pueblo CO 81001-3508. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Hospitalist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fugate, Courtney can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
1301 E 7Th St Pueblo CO 81001-3508
Phone: (719) 543-8711
Fax: (719) 543-0171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0996053-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007065 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C-APN.0000757-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0000757-C-NP Colorado

Profile Details

NPI number 1962782037
LBN Legal business name Fugate, Courtney
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2011
Last updated May 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962782037 NPPES
Colorado MEDICAID 9000145670

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