Healthcare Provider Details

I. General information

NPI: 1215633045
Provider Name (Legal Business Name): CHRIESL INFUSION CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8758 WOLFF CT STE 205
WESTMINSTER CO
80031-6904
US

IV. Provider business mailing address

1444 S POTOMAC ST STE 220
AURORA CO
80012-4509
US

V. Phone/Fax

Practice location:
  • Phone: 720-400-7025
  • Fax: 720-400-7049
Mailing address:
  • Phone: 720-400-7025
  • Fax: 720-400-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES PEREZ
Title or Position: CEO
Credential: APRN-CRNA
Phone: 720-372-1205