Healthcare Provider Details

I. General information

NPI: 1639878820
Provider Name (Legal Business Name): VENESSA CHRISTINA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 W 7TH ST
WRAY CO
80758-1420
US

IV. Provider business mailing address

8541 UNION CIR
ARVADA CO
80005-1187
US

V. Phone/Fax

Practice location:
  • Phone: 970-332-4811
  • Fax:
Mailing address:
  • Phone: 224-804-2766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.1002052-CRNA
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: