Healthcare Provider Details

I. General information

NPI: 1376475012
Provider Name (Legal Business Name): JULIA CRISI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 N TAYLOR ST
GUNNISON CO
81230-2243
US

IV. Provider business mailing address

607 1/2 N IOWA ST APT B
GUNNISON CO
81230-2238
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-6362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1686421
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: