Healthcare Provider Details

I. General information

NPI: 1689110686
Provider Name (Legal Business Name): LAUREN CITTADINO MS, RN, ACCNS-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US

IV. Provider business mailing address

501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-6319
  • Fax:
Mailing address:
  • Phone: 303-788-6319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPN.0992847-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: