Healthcare Provider Details

I. General information

NPI: 1013337310
Provider Name (Legal Business Name): CHRISTINE MARIE GOTTSCHLING R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 E HARVARD AVE STE 400
DENVER CO
80231-5968
US

IV. Provider business mailing address

10065 E HARVARD AVE STE 400
DENVER CO
80231-5968
US

V. Phone/Fax

Practice location:
  • Phone: 720-938-0010
  • Fax:
Mailing address:
  • Phone: 720-938-0010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1616920
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1616920
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1616920
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number1616920
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: