IndividualActive
John Klube, NURSE PRACTITIONER
NPI 1679161996 · Gerontology Nurse Practitioner · Colorado Springs, CO
Provider details
- NPI number
- 1679161996
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- APN.0995920-NP (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2502 E Pikes Peak Ave
Colorado Springs, CO 80909-6033
Phone: (719) 466-8777
Approximate (ZIP-level) locationGet directions
Mailing address
4938 Harvest Rd
Colorado Springs, CO 80917-1015
Registry dates
- Enumerated
- 2021-01-03
- Last updated
- 2021-01-03
- Certified
- 2020-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.