Healthcare Provider Details

I. General information

NPI: 1861712838
Provider Name (Legal Business Name): CHERYL ANNE VOLSTAD RPSGT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 06/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3963 YATES ST
DENVER CO
80212-2212
US

IV. Provider business mailing address

3963 YATES ST
DENVER CO
80212-2212
US

V. Phone/Fax

Practice location:
  • Phone: 720-775-1834
  • Fax:
Mailing address:
  • Phone: 720-775-1834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number6564
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: