Healthcare Provider Details

I. General information

NPI: 1720115793
Provider Name (Legal Business Name): CHRISTINE B SCHAEFER RN, MS, CDE, BC-ADM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S HAVANA ST
AURORA CO
80014-1618
US

IV. Provider business mailing address

7535 E GUNNISON PL
DENVER CO
80231-2620
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-1049
  • Fax:
Mailing address:
  • Phone: 303-755-8936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number63642
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: