Healthcare Provider Details

I. General information

NPI: 1447550439
Provider Name (Legal Business Name): KATHERINE A SCHILLING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4353 E COLFAX AVE
DENVER CO
80220-1115
US

IV. Provider business mailing address

4353 E COLFAX AVE
DENVER CO
80220-1115
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1200
  • Fax: 303-320-4830
Mailing address:
  • Phone: 303-504-1200
  • Fax: 303-320-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number197076
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: