Healthcare Provider Details

I. General information

NPI: 1073909362
Provider Name (Legal Business Name): CHRISTINA SHERWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E 29TH ST
LOVELAND CO
80538-2745
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 970-203-7050
  • Fax: 970-203-7055
Mailing address:
  • Phone: 970-203-7050
  • Fax: 970-203-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0060559
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: