Healthcare Provider Details

I. General information

NPI: 1518398817
Provider Name (Legal Business Name): CHRISTINE M OPRZEDEK-STURGEON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE STURGEON NP-C

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 PALMER ST POB 171
SALIDA CO
81201-3035
US

IV. Provider business mailing address

348 PALMER ST POB 171
SALIDA CO
81201-3035
US

V. Phone/Fax

Practice location:
  • Phone: 719-539-5775
  • Fax:
Mailing address:
  • Phone: 719-539-5775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number990200
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: