Healthcare Provider Details

I. General information

NPI: 1912882093
Provider Name (Legal Business Name): JUDITH RIHACEK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2642 S FIELD CT
LAKEWOOD CO
80227-2911
US

IV. Provider business mailing address

2642 S FIELD CT
LAKEWOOD CO
80227-2911
US

V. Phone/Fax

Practice location:
  • Phone: 720-936-8998
  • Fax:
Mailing address:
  • Phone: 720-936-8998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0163232
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: