MEDICARE: KIRSTEN TOWNSEND WILLIS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.1706209	CO

General Provider Information

NPI Number	:	1851258420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN TOWNSEND WILLIS RN

Provider Business Mailing Address
First Line	:	901 COLORADO BLVD APT 235
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-4087
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 S HOLLY ST
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-3460
Country	:	US
Telephone Number	:	303-773-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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