Healthcare Provider Details

I. General information

NPI: 1598301558
Provider Name (Legal Business Name): CHERYL PALSIC RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 BANNOCK ST STE 100
DENVER CO
80204-4031
US

IV. Provider business mailing address

938 BANNOCK ST STE 100
DENVER CO
80204-4031
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-6792
  • Fax: 303-602-6804
Mailing address:
  • Phone: 303-602-6792
  • Fax: 303-602-6804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number128589
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: