Healthcare Provider Details

I. General information

NPI: 1104613637
Provider Name (Legal Business Name): KAITLIN CHRISTENSEN-ROSENSTEIN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 CENTRAL PARK DR
STEAMBOAT SPRINGS CO
80487-8813
US

IV. Provider business mailing address

PO BOX 913
OAK CREEK CO
80467-0913
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-1322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1672719
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: