Healthcare Provider Details

I. General information

NPI: 1417440652
Provider Name (Legal Business Name): CHRISTINA STERNITZKE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 11/10/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S POTOMAC ST STE 330
AURORA CO
80012-4512
US

IV. Provider business mailing address

5150 HOPNER CT
COLORADO SPRINGS CO
80919-7950
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-2920
  • Fax: 303-997-5225
Mailing address:
  • Phone: 719-551-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberPA.0005388
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.005388
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: