Healthcare Provider Details

I. General information

NPI: 1982943163
Provider Name (Legal Business Name): SHARON K ENGKVIST CNT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARI ENGKVIST

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 S ELIZABETH ST
DENVER CO
80209-4712
US

IV. Provider business mailing address

731 S ELIZABETH ST
DENVER CO
80209-4712
US

V. Phone/Fax

Practice location:
  • Phone: 303-907-5840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: