Healthcare Provider Details

I. General information

NPI: 1740588409
Provider Name (Legal Business Name): RONALD G SCHIMMEL CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2011
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 BANNOCK ST
DENVER CO
80204-4505
US

IV. Provider business mailing address

990 BANNOCK ST MC 7782
DENVER CO
80204-4028
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8710
  • Fax:
Mailing address:
  • Phone: 303-436-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number60914
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: