Healthcare Provider Details

I. General information

NPI: 1528909751
Provider Name (Legal Business Name): KATRINA SONDERMANN MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10107 RIDGEGATE PKWY STE 200
LONE TREE CO
80124-5641
US

IV. Provider business mailing address

3645 W 46TH AVE
DENVER CO
80211-1101
US

V. Phone/Fax

Practice location:
  • Phone: 303-643-6544
  • Fax: 303-329-2588
Mailing address:
  • Phone: 303-913-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1681010
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: