Healthcare Provider Details

I. General information

NPI: 1629157862
Provider Name (Legal Business Name): CHRISTINE THERESA SCHMIDT R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 S KIPLING ST
LAKEWOOD CO
80226-1086
US

IV. Provider business mailing address

1632 BELLAIRE ST
DENVER CO
80220-1047
US

V. Phone/Fax

Practice location:
  • Phone: 303-239-7136
  • Fax: 303-239-7088
Mailing address:
  • Phone: 303-320-5498
  • Fax: 303-239-7088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number76018
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: