Healthcare Provider Details

I. General information

NPI: 1225525876
Provider Name (Legal Business Name): KRISTEN FREEDMAN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 18TH ST
DENVER CO
80211-4296
US

IV. Provider business mailing address

4740 W 41ST AVE
DENVER CO
80212-2222
US

V. Phone/Fax

Practice location:
  • Phone: 720-583-4470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAPN.0993791-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: